Individual
JAMIE ROSE HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
5110 ENTERPRISE BLVD, ENID, OK 73701-9711
(580) 554-2395
Mailing address
5110 ENTERPRISE BLVD, ENID, OK 73701-9711
(580) 554-2395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
643
OK
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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