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Individual

MRS. JERILYN JEAN CONNOR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
2 BEECH TREE LN, SOUTH EASTON, MA 02375-1520
(508) 238-5119
Mailing address
2 BEECH TREE LN, SOUTH EASTON, MA 02375-1520
(508) 238-5119

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
421
MA

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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