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1053776948
JESSI BENEDICT
GREENWOOD, IN
NPI
1053776948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002513A)
Enumeration Date
2015-12-21
Last Update Date
2015-12-21
Business Address
-- JESSI BENEDICT ATC,LAT
346 LAKE RIDGE LN
GREENWOOD, IN 46142-2112
Phone number: 904-910-2167
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Mailing Address
-- JESSI BENEDICT ATC,LAT
346 LAKE RIDGE LN
GREENWOOD, IN 46142-2112
Phone number: 904-910-2167
Copy
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