STEVEN I JESSUP

COEUR D ALENE, ID
NPI1144408618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-260)
Enumeration Date2008-02-06
Last Update Date2014-06-18
Business Address
Mr. STEVEN I JESSUP M.A. Lic. ATC
980 W IRONWOOD DR SUITE 207
COEUR D ALENE, ID 83814-2668
Phone number: 208-770-2971
Mailing Address
Mr. STEVEN I JESSUP M.A. Lic. ATC
980 IRONWOOD DR. SUITE 207
COEUR D ALENE, ID 83814
Phone number: 208-770-2971
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