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Individual

JAMI WISEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1500 GREENLAND DR, MURPHY CENTER BOX 77, MURFREESBORO, TN 37132-3100
(574) 344-6148
Mailing address
2106 HOMEWOOD AVE, MISHAWAKA, IN 46544-2634
(574) 344-6148

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1715
TN

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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