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1003645920
LUIS ALEJANDRO JACOBO
STOCKTON, CA
NPI
1003645920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000053928)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
LUIS ALEJANDRO JACOBO MS, ATC
6385 PACIFIC AVE
STOCKTON, CA 95207-3713
Phone number: 209-477-9300
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Mailing Address
LUIS ALEJANDRO JACOBO MS, ATC
3616 JENNY LIND AVE
NORTH HIGHLANDS, CA 95660-5610
Phone number: 916-208-4144
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