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1003845579
JEANIE BURCH
GREENWOOD, MS
NPI
1003845579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0233)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Miss JEANIE BURCH ATC
1802 STRONG AVE
GREENWOOD, MS 38930-3910
Phone number: 662-392-5599
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Mailing Address
Miss JEANIE BURCH ATC
1308 MAGNOLIA ST
GREENWOOD, MS 38930-2222
Phone number: 662-453-5681
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