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Individual

JESSICA MARIE ROGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, ATC

Contact information

Practice address
620 SUTTER ST, SAN FRANCISCO, CA 94102-1046
(415) 871-5763
Mailing address
8197 DREXEL CT, EDEN PRAIRIE, MN 55347-2189
(612) 803-8067

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028072

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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