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1053664185
JENNIFER LYN WALTRIP
PHOENIX, AZ
NPI
1053664185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0110)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
-- JENNIFER LYN WALTRIP MS, AT
7402 W CATALINA DR TREVOR BROWNE HIGH SCHOOL
PHOENIX, AZ 85033-5502
Phone number: 602-764-8636
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Mailing Address
-- JENNIFER LYN WALTRIP MS, AT
2088 S. 216TH LANE
BUCKEYE, AZ 85326
Phone number: 602-319-1147
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