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1538246053
JENNIFER LEE JOHANNES
STATE COLLEGE, PA
NPI
1538246053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004010)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- JENNIFER LEE JOHANNES ATC
101 REGENT CT
STATE COLLEGE, PA 16801-7965
Phone number: 800-505-2101
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Mailing Address
-- JENNIFER LEE JOHANNES ATC
PO BOX 157 185 BEACH STREET
BLANCHARD, PA 16826-0157
Phone number: 570-962-3440
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