Jacob Dean

NPI #1124550959 in Port Matilda, Pennsylvania

Provider Information

NPI Number: 1124550959
Entity Type: Individual
Name: Jacob Dean
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 30, 2017
Last Updated: Apr 3, 2017

Practice Location

Address: 257 MARYSVILLE LN
City: Port Matilda
State: Pennsylvania
ZIP Code: 16870-7230
Phone: (814) 327-9507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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Organizations

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