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Individual

MS. JENNIFER LYNN FAIL SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 JOHNSON RIDGE RD, ELKIN, NC 28621-2424
(336) 527-7600
Mailing address
19843 HENDERSON RD UNIT J, CORNELIUS, NC 28031-5879
(703) 587-6458

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10610
NC

Other

Enumeration date
11/24/2015
Last updated
05/23/2021
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