JACOB DAVID IBEY

ENFIELD, CT
NPI1124123872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  000021)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. JACOB DAVID IBEY ATC
3 WEYMOUTH RD
ENFIELD, CT 06082
Phone number: 860-763-7625
Mailing Address
Mr. JACOB DAVID IBEY ATC
58 GIDDINGS AVE
WINDSOR, CT 06095-3702
Phone number: 860-687-1459
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