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1932829967
JACOB THOMAS BENDER
LOCK HAVEN, PA
NPI
1932829967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
JACOB THOMAS BENDER
46 CAMPUS DRIVE
LOCK HAVEN, PA 17745-1774
Phone number: 570-484-2027
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Mailing Address
JACOB THOMAS BENDER
300 FOUNDATION DR # 133
LOCK HAVEN, PA 17745-1462
Phone number:
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