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1912033804
JESSUP DANIEL PIERCE
ALBANY, NY
NPI
1912033804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001453)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. JESSUP DANIEL PIERCE ATC
432 WESTERN AVE
ALBANY, NY 12203-1419
Phone number: 518-454-5134
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Mailing Address
Mr. JESSUP DANIEL PIERCE ATC
43 WASHINGTON AVE APT 4
SCHENECTADY, NY 12305-1792
Phone number: 518-429-0306
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