KELSEY JACKSON FREDERICKS

CLOVIS, NM
NPI1528729092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  AT656)
Enumeration Date2022-01-06
Last Update Date2022-01-06
Business Address
KELSEY JACKSON FREDERICKS LAT, ATC
2005 MILLER ST
CLOVIS, NM 88101-8660
Phone number: 505-269-5962
Mailing Address
KELSEY JACKSON FREDERICKS LAT, ATC
2005 MILLER ST
CLOVIS, NM 88101-8660
Phone number: 505-269-5962
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