Jacob Eblen

NPI #1417357195 in Villisca, Iowa

Provider Information

NPI Number: 1417357195
Entity Type: Individual
Name: Jacob Eblen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 127 W HIGH ST
City: Villisca
State: Iowa
ZIP Code: 50864-1040
Phone: (712) 215-2512

Specialties & Taxonomy Codes

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

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