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1497153209
JACOB NAAS
CHAMPAIGN, IL
NPI
1497153209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- JACOB NAAS
1402 S 1ST ST
CHAMPAIGN, IL 61820-6916
Phone number: 217-300-7037
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Mailing Address
-- JACOB NAAS
605 TEAL CV
CHAMPAIGN, IL 61821-3544
Phone number:
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