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1669892519
JACOB FAIN
STEPHENVILLE, TX
NPI
1669892519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4205)
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
-- JACOB FAIN MEd, LAT
201 SPRING BOUQUET ST
STEPHENVILLE, TX 76401-1810
Phone number: 817-308-2955
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Mailing Address
-- JACOB FAIN MEd, LAT
201 SPRING BOUQUET ST
STEPHENVILLE, TX 76401-1810
Phone number: 817-308-2955
Copy
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