BRIANNE JACOBSON

DETROIT, MI
NPI1922635093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI  2601002314)
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
BRIANNE JACOBSON ATC, LAT
4001 W MCNICHOLS RD
DETROIT, MI 48221-3038
Phone number: 435-659-0849
Mailing Address
BRIANNE JACOBSON ATC, LAT
1776 PARK AVE STE 4403
PARK CITY, UT 84060-5148
Phone number: 435-659-0849
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