Individual
JACQUELYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 LINDEN ST, CADILLAC, MI 49601-1704
(231) 876-5876
(231) 876-5886
Mailing address
421 S MITCHELL ST, CADILLAC, MI 49601-2477
(231) 876-5000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000906
MI
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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