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1063969848
JOHN DAVIS
AMES, IA
NPI
1063969848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 079840)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
-- JOHN DAVIS ATC, LAT
1800 S 4TH ST JACOBSON BUILDING
AMES, IA 50011-1142
Phone number: 515-294-6315
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Mailing Address
-- JOHN DAVIS ATC, LAT
117 NE 46TH LN UNIT 4
ANKENY, IA 50021-8115
Phone number: 949-374-1691
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