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1568940237
SETH ALEX JACOB
BENNINGTON, NE
NPI
1568940237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-08-03
Last Update Date
2019-06-26
Business Address
SETH ALEX JACOB
7931 N 154TH ST
BENNINGTON, NE 68007-1838
Phone number: 402-917-8627
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Mailing Address
SETH ALEX JACOB
7931 N 154TH ST
BENNINGTON, NE 68007-1838
Phone number:
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