JERAD COBURN

CYPRESS, TX
NPI1023671914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4674)
Enumeration Date2019-04-17
Last Update Date2019-04-17
Business Address
Mr. JERAD COBURN ATC, LAT
11811 OWENS CANYON LN
CYPRESS, TX 77433-2809
Phone number: 765-318-9446
Mailing Address
Mr. JERAD COBURN ATC, LAT
11811 OWENS CANYON LN
CYPRESS, TX 77433-2809
Phone number: 765-318-9446
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