JARED SHORE

JACKSON, MS
NPI1437534724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0760)
Enumeration Date2015-07-28
Last Update Date2015-07-28
Business Address
-- JARED SHORE ATC.,LAT
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-2000
Mailing Address
-- JARED SHORE ATC.,LAT
101 KEMPEN LN
MADISON, MS 39110-3401
Phone number: 601-613-2437
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