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1639386519
JASON VICKERS
CANTON, OH
NPI
1639386519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT001449)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. JASON VICKERS ATC
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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Mailing Address
Mr. JASON VICKERS ATC
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
Copy
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