WILLIAM JOHN JACOBS

WINONA, MN
NPI1144432030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1153)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mr. WILLIAM JOHN JACOBS ATC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-429-2483
Mailing Address
Mr. WILLIAM JOHN JACOBS ATC
359 E LAKE BLVD
WINONA, MN 55987-5314
Phone number: 507-429-2483
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