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1417929951
JASON ALLEN DALEY
ATHENS, OK
NPI
1417929951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 002641)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Mr. JASON ALLEN DALEY AT
OHIO UNIVERSITY GROVER CENTER E207
ATHENS, OK 45701-2979
Phone number: 740-593-9497
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Mailing Address
Mr. JASON ALLEN DALEY AT
124 N LANCASTER ST
ATHENS, OH 45701-2218
Phone number: 330-697-1511
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