JEREMY RAYMOND DICUS

ATHENS, OH
NPI1518939057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  002554)
Enumeration Date2006-02-07
Last Update Date2007-07-08
Business Address
-- JEREMY RAYMOND DICUS AT
OHIO UNIVERSITY GROVER CENTER E207
ATHENS, OH 45701-2979
Phone number: 740-593-9497
Mailing Address
-- JEREMY RAYMOND DICUS AT
1268 SHERIDAN DR APARTMENT H
LANCASTER, OH 43130-1940
Phone number: 740-821-2775