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1427386218
JACOB POPE
NORMAL, IL
NPI
1427386218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2009-12-07
Last Update Date
2009-12-07
Business Address
Mr. JACOB POPE ATC
KAUFMAN FOOTBALL BUILDING
NORMAL, IL 61790-0001
Phone number: 818-903-9377
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Mailing Address
Mr. JACOB POPE ATC
6347 BOVEY AVE
TARZANA, CA 91335-6528
Phone number: 818-903-9377
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