JACOB JOHNSON

DEARBORN, MI
NPI1912568320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-06-26
Last Update Date2023-11-27
Business Address
JACOB JOHNSON
116 ELMWOOD ST
DEARBORN, MI 48124-1424
Phone number: 313-506-7374
Mailing Address
JACOB JOHNSON
116 ELMWOOD ST
DEARBORN, MI 48124-1424
Phone number: 313-506-7374
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