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Individual

MRS. JENNIE SUE KRAUSE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
302 TOWNE CRIER RD, LYNCHBURG, VA 24502-3917
(434) 592-3220
Mailing address
302 TOWNE CRIER RD, LYNCHBURG, VA 24502-3917

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000757
VA

Other

Enumeration date
10/05/2005
Last updated
07/08/2007
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