JORDAN SAMANTHA DEVENNEY

LAFAYETTE, IN
NPI1942693007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36003182A)
Enumeration Date2015-03-13
Last Update Date2020-02-03
Business Address
JORDAN SAMANTHA DEVENNEY MS, LAT, ATC
3001 S CREASY LN STE B
LAFAYETTE, IN 47905-5206
Phone number: 269-718-9333
Mailing Address
JORDAN SAMANTHA DEVENNEY MS, LAT, ATC
3101 NEW LONDON CT APT 510
LAFAYETTE, IN 47909-5312
Phone number: 269-718-9333
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