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1568177129
JON DAVID PEDERSEN
YOUNGSTOWN, OH
NPI
1568177129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT006745)
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
Mr. JON DAVID PEDERSEN
651 ELM ST
YOUNGSTOWN, OH 44502
Phone number: 203-980-1516
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Mailing Address
Mr. JON DAVID PEDERSEN
8 ERICO DR
EAST HAVEN, CT 06512-1091
Phone number: 230-980-1516
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