KHALIL JETER

AMES, IA
NPI1003656430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-05-31
Last Update Date2026-05-29
Business Address
KHALIL JETER MAT, ATC, LAT
534 WALLACE RD
AMES, IA 50011-4008
Phone number: 515-294-8009
Mailing Address
KHALIL JETER MAT, ATC, LAT
15633 CORNELL AVE
DOLTON, IL 60419-3021
Phone number: 708-522-1697
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