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1376093039
JACOB RYAN ROSPERT
MANSFIELD, OH
NPI
1376093039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT004122)
Enumeration Date
2016-10-06
Last Update Date
2023-08-17
Business Address
JACOB RYAN ROSPERT ATC
335 GLESSNER AVE
MANSFIELD, OH 44903-2269
Phone number: 419-526-8000
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Mailing Address
JACOB RYAN ROSPERT ATC
272 BENEDICT AVE
NORWALK, OH 44857-2374
Phone number: 419-668-8101
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