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Individual

MRS. JIAME LYNN FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
103 W MAPLE ST, PHILIPSBURG, PA 16866-2200
(814) 342-8304
(814) 342-8305
Mailing address
45 SHADE HOLLOW RD, MILL HALL, PA 17751-8641
(570) 726-7232

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002388A
PA

Other

Enumeration date
06/27/2007
Last updated
07/08/2007
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