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1790204451
JORDAN JACOBSON
TOLEDO, OH
NPI
1790204451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-09-13
Last Update Date
2018-07-10
Business Address
Mr. JORDAN JACOBSON LAT, ATC
2801 W BANCROFT ST
TOLEDO, OH 43606
Phone number: 800-586-5336
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Mailing Address
Mr. JORDAN JACOBSON LAT, ATC
11847 TREEWIND CT
SAN DIEGO, CA 92128-5272
Phone number:
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