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1295259000
JACKSON SMIDT
SANTA BARBARA, CA
NPI
1295259000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000017302)
Enumeration Date
2017-08-02
Last Update Date
2022-07-21
Business Address
JACKSON SMIDT MS, ATC, CSCS
UC SANTA BARBARA ICA BUILDING
SANTA BARBARA, CA 93106-0001
Phone number: 805-893-3424
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Mailing Address
JACKSON SMIDT MS, ATC, CSCS
UC SANTA BARBARA ICA BUILDING
SANTA BARBARA, CA 93106-5200
Phone number: 805-893-3424
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