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Individual

JENNA MARIE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1901 W 80 1/2 ST UNIT 226, BLOOMINGTON, MN 55431-5108
(319) 329-7008
Mailing address
1801 W 80 1/2 ST UNIT 315, BLOOMINGTON, MN 55431-7101
(319) 329-7008

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/17/2022
Last updated
08/23/2022
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