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1649707779
DANETTA MICHELLE ENNIS
JONESBORO, AR
NPI
1649707779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-05-19
Last Update Date
2022-07-21
Business Address
Mrs. DANETTA MICHELLE ENNIS MS, ATC, LAT
1416 E MATTHEWS AVE STE 200
JONESBORO, AR 72401-4362
Phone number: 870-932-1820
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Mailing Address
Mrs. DANETTA MICHELLE ENNIS MS, ATC, LAT
1416 E MATTHEWS AVE STE 200
JONESBORO, AR 72401-4362
Phone number: 870-932-1820
Copy
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