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1295272458
BRENDAN JACOB
NEW ORLEANS, LA
NPI
1295272458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 303137)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- BRENDAN JACOB ATC
202 JANET YULMAN WAY
NEW ORLEANS, LA 70118-5671
Phone number: 504-864-1476
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Mailing Address
-- BRENDAN JACOB ATC
202 MCALISTER EXTENSION
NEW ORLEANS, LA 70118
Phone number: 504-864-1476
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