JESSE P AMBURN

TYLER, TX
NPI1992991947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT2013)
Enumeration Date2007-09-23
Last Update Date2007-09-23
Business Address
Mr. JESSE P AMBURN LAT,ATC
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
Mailing Address
Mr. JESSE P AMBURN LAT,ATC
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500