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1376966242
JENNA LYNN CAPPS
TERRE HAUTE, IN
NPI
1376966242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001986A)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- JENNA LYNN CAPPS ATC, LAT
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 224-627-8743
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Mailing Address
-- JENNA LYNN CAPPS ATC, LAT
2223 LOTUS DR
ROUND LAKE HEIGHTS, IL 60073-1169
Phone number: 224-627-8742
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