JACOB BROUSE

INDIANAPOLIS, IN
NPI1194406793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-07-26
Last Update Date2023-08-01
Business Address
JACOB BROUSE
1400 E HANNA AVE
INDIANAPOLIS, IN 46227-3630
Phone number: 317-788-3368
Mailing Address
JACOB BROUSE
1160 BALATON LN APT 102
GREENWOOD, IN 46143-8011
Phone number: