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Individual

JESSICA DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 YORKSTOWN DR APT 221, ENNIS, TX 75119-3618
(859) 466-4008
Mailing address
2401 YORKSTOWN DR APT 221, ENNIS, TX 75119-3618
(859) 466-4008

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5138
TX

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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