CODY JAMES JEFFERSON

MARTIN, TN
NPI1437788601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  0000002259)
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
Mr. CODY JAMES JEFFERSON MBA, ATC, LAT
15 MOUNT PELIA RD
MARTIN, TN 38237-3313
Phone number: 731-881-7679
Mailing Address
Mr. CODY JAMES JEFFERSON MBA, ATC, LAT
525 MOUNT PELIA RD APT 19
MARTIN, TN 38237-3399
Phone number:
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