Individual
MR. JEB M BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
ONE WASHINGTON SQUARE, SAN JOSE, CA 95192-0001
(408) 924-1256
Mailing address
4872 SPEAK LN, SAN JOSE, CA 95118-3712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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