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1114551967
DEMETRIUS JENNINGS
PHILADELPHIA, PA
NPI
1114551967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-03-01
Last Update Date
2020-03-01
Business Address
DEMETRIUS JENNINGS ATC
1801 N BROAD ST
PHILADELPHIA, PA 19122-6003
Phone number: 215-204-7000
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Mailing Address
DEMETRIUS JENNINGS ATC
12 HONEYSUCKLE DR
SEWELL, NJ 08080-2588
Phone number: 215-667-0572
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