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1437616166
JAKE SMITH
SAN DIEGO, CA
NPI
1437616166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000028483)
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
JAKE SMITH ATC
3900 LOMALAND DR
SAN DIEGO, CA 92106-2899
Phone number: 619-244-1291
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Mailing Address
JAKE SMITH ATC
7385 PRINCETON AVE
LA MESA, CA 91942-8717
Phone number:
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