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1841701026
JACOB NORTHCUTT
ALVIN, TX
NPI
1841701026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7179)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
JACOB NORTHCUTT LAT, ATC
802 S JOHNSON ST
ALVIN, TX 77511-3300
Phone number: 281-967-9046
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Mailing Address
JACOB NORTHCUTT LAT, ATC
802 S JOHNSON ST
ALVIN, TX 77511-3300
Phone number: 281-967-9046
Copy
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