JACOB CROW

BLOOMINGTON, IN
NPI1952708232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002259A)
Enumeration Date2014-12-02
Last Update Date2014-12-02
Business Address
-- JACOB CROW ATC
1001 E 17TH ST
BLOOMINGTON, IN 47408-1590
Phone number: 812-855-3618
Mailing Address
-- JACOB CROW ATC
205 E 6TH ST
BLOOMINGTON, IN 47408-3517
Phone number: 812-855-3618
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