JESSE GEORGE COPS

BOISE, ID
NPI1770528333
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-231)
Enumeration Date2006-06-18
Last Update Date2007-07-08
Business Address
JESSE GEORGE COPS ATC, LAT
1910 UNIVERSITY DR BOISE STATE UNIVERSITY - ATHLETICS
BOISE, ID 83725-0002
Phone number: 208-426-3439
Mailing Address
JESSE GEORGE COPS ATC, LAT
1341 JAMES HOWE RD
DALLAS, OR 97338-9695
Phone number: 503-851-9346
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