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1235416686
DAVID JACK
FRESNO, CA
NPI
1235416686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
Mr. DAVID JACK ATC
1620 E BULLDOG LN
FRESNO, CA 93740-0001
Phone number: 559-278-4170
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Mailing Address
Mr. DAVID JACK ATC
1620 E BULLDOG LN
FRESNO, CA 93740-0001
Phone number: 559-278-4170
Copy
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