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Individual

DR. JOLENE M HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, ATC, LAT

Contact information

Practice address
UNCG DEPT. OF ESS, 250 HHP BUILDING, GREENSBORO, NC 27402
(336) 334-3694
Mailing address
3004 COLONY DR, JAMESTOWN, NC 27282-9005
(336) 334-3694

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0385
NC

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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