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1922297662
KURT DANIEL JACOBSON
EAU CLAIRE, WI
NPI
1922297662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 87-039)
Enumeration Date
2007-10-18
Last Update Date
2021-01-14
Business Address
MR. KURT DANIEL JACOBSON LAT
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-6304
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Mailing Address
MR. KURT DANIEL JACOBSON LAT
200 1ST ST SW
ROCHESTER, MN 55905-0002
Phone number: 715-838-5222
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