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1013790468
JEFFREY S WARD
VALLEJO, CA
NPI
1013790468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
JEFFREY S WARD ATC, CSCS
200 MARITIME ACADEMY DR DEPT OF
VALLEJO, CA 94590-8181
Phone number: 707-654-1055
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Mailing Address
JEFFREY S WARD ATC, CSCS
345 DALE CT
BENICIA, CA 94510-2133
Phone number: 707-592-4265
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