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Individual

JAZMINE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC, PES

Contact information

Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6436
Mailing address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106

Taxonomy

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

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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