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Individual

JAMIE NICOLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
720 W US HIGHWAY 18, GARNER, IA 50438-1022
(641) 924-0205
Mailing address
720 W US HIGHWAY 18, GARNER, IA 50438-1022
(641) 924-0205
(641) 924-0207

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001701
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001071
STATE LICENSE
IA
Enumeration date
03/04/2020
Last updated
03/04/2020
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