JERADE ANDREW PARKS

LAKEWOOD, OH
NPI1356788632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT002960)
Enumeration Date2013-05-28
Last Update Date2019-10-04
Business Address
Mr. JERADE ANDREW PARKS ATC
2026 BAXTERLY AVE
LAKEWOOD, OH 44107-6028
Phone number: 248-921-8785
Mailing Address
Mr. JERADE ANDREW PARKS ATC
12790 CHAMBERLAIN RD
AURORA, OH 44202-9706
Phone number: 248-921-8785
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