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1558800771
JACOB BENDIXEN
PHILADELPHIA, PA
NPI
1558800771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTo000290)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- JACOB BENDIXEN ATC
1900 W OLNEY AVE
PHILADELPHIA, PA 19141-1108
Phone number: 215-951-1519
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Mailing Address
-- JACOB BENDIXEN ATC
4314 TERRACE ST
PHILADELPHIA, PA 19128-4935
Phone number: 201-895-2093
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