JEFFERY CORDELL BANKS

EAU CLAIRE, WI
NPI1174836456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI  190-39)
Enumeration Date2010-07-15
Last Update Date2013-11-01
Business Address
JEFFERY CORDELL BANKS LAT
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4500
Mailing Address
JEFFERY CORDELL BANKS LAT
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511