JON DAVID SMITH

ANGOLA, IN
NPI1710940846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000440A)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
Mr. JON DAVID SMITH LAT, ATC
1 UNIVERSITY AVE
ANGOLA, IN 46703-1764
Phone number: 260-665-4846
Mailing Address
Mr. JON DAVID SMITH LAT, ATC
175 LANE 200 LAKE JAMES
ANGOLA, IN 46703-7506
Phone number: 260-833-9316
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