JACOB PATTILLO

SALT LAKE CITY, UT
NPI1891129912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  8385126-4810)
Enumeration Date2013-08-26
Last Update Date2013-08-26
Business Address
-- JACOB PATTILLO ATC
233 W MONTROSE AVE
SALT LAKE CITY, UT 84101-2722
Phone number: 801-209-3880
Mailing Address
-- JACOB PATTILLO ATC
233 W MONTROSE AVE
SALT LAKE CITY, UT 84101-2722
Phone number: 801-209-3880
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