MARY E JACOBS

MARION, IN
NPI1801880414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000359A)
Enumeration Date2005-09-09
Last Update Date2007-07-08
Business Address
Ms. MARY E JACOBS ATC, LAT
4201 S WASHINGTON ST
MARION, IN 46953-4974
Phone number: 765-677-1675
Mailing Address
Ms. MARY E JACOBS ATC, LAT
1715 W OVERLOOK RD
MARION, IN 46952-1120
Phone number: 765-677-1675