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1194327452
JACK DAVID ENO
EAST LANSING, MI
NPI
1194327452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
JACK DAVID ENO
771 CHESTNUT RD
EAST LANSING, MI 48824-3434
Phone number: 517-353-4412
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Mailing Address
JACK DAVID ENO
1619 CARDINAL RDG
WEST BLOOMFIELD, MI 48324-3421
Phone number: 248-978-5155
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