JACK SUTTON FENNER

SHREVEPORT, LA
NPI1205629672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  012122580)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
JACK SUTTON FENNER
427 PRESTONWOOD DR
SHREVEPORT, LA 71115-3723
Phone number: 318-344-3686
Mailing Address
JACK SUTTON FENNER
427 PRESTONWOOD DR
SHREVEPORT, LA 71115-3723
Phone number: 318-344-3686
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