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1215551551
JACOB RILEY CALLAHAN
SAN DIEGO, CA
NPI
1215551551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
JACOB RILEY CALLAHAN MS, ATC, CES
5302 55TH ST
SAN DIEGO, CA 92182-0001
Phone number: 619-594-5272
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Mailing Address
JACOB RILEY CALLAHAN MS, ATC, CES
3046 MISSION VILLAGE DR
SAN DIEGO, CA 92123-3214
Phone number: 619-846-0428
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