BENJAMIN ROBERT DAVIS

SPENCER, IA
NPI1891126603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  000831)
Enumeration Date2013-12-04
Last Update Date2013-12-04
Business Address
-- BENJAMIN ROBERT DAVIS ATC
1200 1ST AVE E SUITE C
SPENCER, IA 51301-4342
Phone number: 712-262-7511
Mailing Address
-- BENJAMIN ROBERT DAVIS ATC
503 E 18TH ST APT 4
SPENCER, IA 51301-4659
Phone number: 319-215-0656
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