JASON ENSRUD

LINCOLN, NE
NPI1740732973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE  467)
Enumeration Date2016-11-04
Last Update Date2016-11-04
Business Address
JASON ENSRUD ATC
5000 SAINT PAUL AVE
LINCOLN, NE 68504-2760
Phone number: 402-465-7508
Mailing Address
JASON ENSRUD ATC
5000 SAINT PAUL AVE
LINCOLN, NE 68504-2760
Phone number: 402-465-7508
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