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1174261796
JENNA LEIGH KIPETZ
SAN DIEGO, CA
NPI
1174261796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
JENNA LEIGH KIPETZ MEd, ATC
35000 GUADALCANAL ST BLDG 573
SAN DIEGO, CA 92140-5599
Phone number: 619-524-8313
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Mailing Address
JENNA LEIGH KIPETZ MEd, ATC
7831 SPINNAKER BAY DR UNIT 207
SHERRILLS FORD, NC 28673-9291
Phone number: 860-462-1434
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