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1235765207
JENNIFER DAWN MCCOLLUM
DURHAM, NC
NPI
1235765207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0190)
Enumeration Date
2020-03-21
Last Update Date
2020-03-21
Business Address
JENNIFER DAWN MCCOLLUM ATC-L
110 WHITFORD DR
DURHAM, NC 27708-9982
Phone number: 919-668-5744
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Mailing Address
JENNIFER DAWN MCCOLLUM ATC-L
4025 FORRESTDALE DR
DURHAM, NC 27712-2981
Phone number: 919-812-0151
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