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Individual

MRS. JAIME LYNN GIANGROSSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
806 SAINT VINCENTS DR, WCC SUITE 620, BIRMINGHAM, AL 35205-1684
(205) 939-1557
(205) 939-1536
Mailing address
1152 WINDSOR PKWY, MOODY, AL 35004-3035
(205) 337-6032

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
672
AL

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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