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1578607057
LISA REBECCA JASS
MURFREESBORO, TN
NPI
1578607057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 110302082)
Enumeration Date
2007-02-16
Last Update Date
2010-04-30
Business Address
Miss LISA REBECCA JASS ATC
3722 BLAZE DR
MURFREESBORO, TN 37128-3951
Phone number: 714-343-8510
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Mailing Address
Miss LISA REBECCA JASS ATC
3722 BLAZE DR
MURFREESBORO, TN 37128-3951
Phone number: 714-343-8510
Copy
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