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1457017386
JACOB ROUTHIER
MESA, AZ
NPI
1457017386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ ATR-008966)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
JACOB ROUTHIER
160 E ATHLETICS WAY
MESA, AZ 85201-5068
Phone number: 203-258-1932
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Mailing Address
JACOB ROUTHIER
200 PELL MEADOW DR
FAIRFIELD, CT 06824-2962
Phone number: 203-258-1932
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