Jacob Dean
Jacob Dean is a Student in an Organized Health Care Education/Training Program in Port Matilda, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
257 Marysville LnPort Matilda, PA 16870-7230
Phone: (814) 327-9507
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1124550959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2017 |
| Last updated in NPPES | April 3, 2017 |
| Mailing address | 257 Marysville Ln, Port Matilda, PA 16870-7230 |
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