JOHN LEONARD JACKSON

BROCKPORT, NY
NPI1609482702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  000254)
Enumeration Date2020-09-23
Last Update Date2020-09-23
Business Address
JOHN LEONARD JACKSON
350 NEW CAMPUS DR
BROCKPORT, NY 14420-2997
Phone number: 585-395-5374
Mailing Address
JOHN LEONARD JACKSON
350 NEW CAMPUS DR
BROCKPORT, NY 14420-2997
Phone number: 585-395-5374
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