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1386014595
JENNIFER LYNN HYDE
JEFFERSON, LA
NPI
1386014595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: LA ATH.200507)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
JENNIFER LYNN HYDE MS, ATC, LAT
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 815-245-8662
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Mailing Address
JENNIFER LYNN HYDE MS, ATC, LAT
4305 PALMYRA ST
NEW ORLEANS, LA 70119-5924
Phone number: 815-245-8662
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