JONATHAN PEDERSON

ANKENY, IA
NPI1104261288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  001110)
Enumeration Date2013-05-03
Last Update Date2013-05-03
Business Address
-- JONATHAN PEDERSON ATC
301 N ANKENY BLVD
ANKENY, IA 50023-1730
Phone number: 515-965-1422
Mailing Address
-- JONATHAN PEDERSON ATC
3032 SW ARLAN LN
ANKENY, IA 50023-6827
Phone number:
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