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Individual

MISS JENIFER ELLEN ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
5616 LA ROCHE AVE, SAVANNAH, GA 31406-3115
(912) 656-8352
Mailing address
5616 LA ROCHE AVE, SAVANNAH, GA 31406-3115
(912) 656-8352

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000767
GA

Other

Enumeration date
06/19/2007
Last updated
07/08/2007
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