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Individual

MRS. JENNIFER LYNN WAKE-FLOYD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
7790 COLLEGE STATION DR, WILLIAMSBURG, KY 40769-1388
(606) 539-4479
(606) 539-4451
Mailing address
230 CLELLAN DR, SOMERSET, KY 42503-6538
(606) 679-9081
(606) 539-4451

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT368
KY

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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