JACOB TYLER DEPEW

HIGH POINT, NC
NPI1033402474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC  1828)
Enumeration Date2011-05-18
Last Update Date2011-05-18
Business Address
MR. JACOB TYLER DEPEW MS, ATC, LAT, PES
833 MONTLIEU AVE
HIGH POINT, NC 27262-4221
Phone number: 336-841-4500
Mailing Address
MR. JACOB TYLER DEPEW MS, ATC, LAT, PES
833 MONTLIEU AVE
HIGH POINT, NC 27262-4221
Phone number: 336-841-4500
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