VAN TREECE WOODALL

JACKSON, MS
NPI1700309374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  2000029947)
Enumeration Date2017-07-25
Last Update Date2017-07-25
Business Address
VAN TREECE WOODALL ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
Mailing Address
VAN TREECE WOODALL ATC
304 ROBB ST
SUMMIT, MS 39666-7167
Phone number: 601-248-9676
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