JACOB ROBERT POWELL

SWAMPSCOTT, MA
NPI1487107231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-07-28
Last Update Date2017-06-20
Business Address
-- JACOB ROBERT POWELL ATC
70 FULLER AVE
SWAMPSCOTT, MA 01907-2150
Phone number: 781-913-6120
Mailing Address
-- JACOB ROBERT POWELL ATC
70 FULLER AVE
SWAMPSCOTT, MA 01907-2150
Phone number: 781-913-6120
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