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Individual

MRS. JENNIFER THORPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT, CSCS

Contact information

Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-4325
Mailing address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-4325

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
811
WI

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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