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1609655240
JACK DAVID PETERS
WEST LAFAYETTE, IN
NPI
1609655240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
JACK DAVID PETERS
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907-2046
Phone number: 765-496-0502
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Mailing Address
JACK DAVID PETERS
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907-2046
Phone number: 765-496-0502
Copy
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