Individual
MRS. JENNIFER KAY MAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
18505 TONTOGANY CREEK RD, BOWLING GREEN, OH 43402-9037
(419) 654-5401
Mailing address
113 GENSON DR, HASKINS, OH 43525-9518
(419) 654-5401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1031
OH
Other
Enumeration date
03/05/2007
Last updated
01/27/2017
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