JONATHAN DAVID SEMILLO

ASHLAND, OR
NPI1891592473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-10256506)
Enumeration Date2025-02-28
Last Update Date2025-06-17
Business Address
JONATHAN DAVID SEMILLO ATC, LAT
1250 SISKIYOU BLVD
ASHLAND, OR 97520-5001
Phone number: 541-552-7672
Mailing Address
JONATHAN DAVID SEMILLO ATC, LAT
10424 GRASS VALLEY CT
STOCKTON, CA 95209-4549
Phone number: 209-938-7131
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