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Individual

MS. JAMIE LYNN SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2499 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 462-9420
(815) 462-9421
Mailing address
94 W 24TH ST, CHICAGO HEIGHTS, IL 60411-4139
(708) 431-4732

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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