JACOB CROSS

BREWER, ME
NPI1437552486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT539)
Enumeration Date2014-10-06
Last Update Date2014-10-06
Business Address
-- JACOB CROSS ATC
270 WILSON ST
BREWER, ME 04412-1548
Phone number: 207-989-4401
Mailing Address
-- JACOB CROSS ATC
270 WILSON ST
BREWER, ME 04412-1548
Phone number: 207-989-4401
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