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1467414839
JASON MILES COBB
GLASTONBURY, CT
NPI
1467414839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT397)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
Mr. JASON MILES COBB MS, ATC/L
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 800-998-0880
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Mailing Address
Mr. JASON MILES COBB MS, ATC/L
3811 GAYWOOD DR
LOUISVILLE, KY 40272-2903
Phone number: 502-937-0085
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