JACOB GLENN PARISH

SPRINGFIELD, IL
NPI1083100994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
JACOB GLENN PARISH ATC
3631 S 6TH ST
SPRINGFIELD, IL 62703-4777
Phone number: 217-744-7529
Mailing Address
JACOB GLENN PARISH ATC
7809 HUNT RD
SPRINGFIELD, IL 62712-8603
Phone number: