JESSE LEE FREE

RENTON, WA
NPI1710362967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A160483105)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
-- JESSE LEE FREE MA, LAT, ATC
737 LOGAN AVE NORTH MC 9C-01
RENTON, WA 98057-0000
Phone number: 425-512-2704
Mailing Address
-- JESSE LEE FREE MA, LAT, ATC
607 DEWEY AVE NW SUITE 300
GRAND RAPIDS, MI 49504-7335
Phone number: 425-512-2704
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