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1144432030
WILLIAM JOHN JACOBS
WINONA, MN
NPI
1144432030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 1153)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
MR. WILLIAM JOHN JACOBS ATC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-429-2483
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Mailing Address
MR. WILLIAM JOHN JACOBS ATC
359 E LAKE BLVD
WINONA, MN 55987-5314
Phone number: 507-429-2483
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