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Individual

JENNIFER D WATKINS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, ATC

Contact information

Practice address
223 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 798-0563
Mailing address
143 LOU FOX DR, TELFORD, TN 37690-2543

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
587
TN

Other

Enumeration date
10/28/2005
Last updated
07/08/2007
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