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1538633433
JACOB AUGUST BRICKER
EAST STROUDSBURG, PA
NPI
1538633433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT007056)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
JACOB AUGUST BRICKER
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 570-422-2970
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Mailing Address
JACOB AUGUST BRICKER
221 LABRADOR LN
TOWNSEND, DE 19734-9036
Phone number: 302-229-5320
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