DAVID MILLER JESSUP

BROWNSBURG, IN
NPI1518927789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000085A)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
Mr. DAVID MILLER JESSUP MS, ATC
1000 S ODELL ST
BROWNSBURG, IN 46112-1929
Phone number: 317-852-2258
Mailing Address
Mr. DAVID MILLER JESSUP MS, ATC
2 LACY CT
BROWNSBURG, IN 46112-2033
Phone number: 317-852-9651
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