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1811927148
JEFFERY LANDON HUSTON
TIFFIN, OH
NPI
1811927148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT002193)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY LANDON HUSTON ATC
310 E MARKET ST
TIFFIN, OH 44883-2434
Phone number: 419-448-2519
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Mailing Address
Mr. JEFFERY LANDON HUSTON ATC
1962 S STATE ROUTE 100
TIFFIN, OH 44883-3614
Phone number: 419-448-2519
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