JEREMY M AINSWORTH

MONMOUTH, OR
NPI1639166432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-1000092)
Enumeration Date2005-10-05
Last Update Date2007-07-08
Business Address
-- JEREMY M AINSWORTH M.S., ATC
221 MAIN ST E
MONMOUTH, OR 97361-2240
Phone number: 503-838-4244
Mailing Address
-- JEREMY M AINSWORTH M.S., ATC
12698 KINGS VALLEY HWY
MONMOUTH, OR 97361-9551
Phone number: 503-606-2077
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