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MR. TODD JACOB JAGER I

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1 CAMPUS DR, GRAND VALLEY STATE UNIVERSITY, 84 FIELD HOUSE, ALLENDALE, MI 49401-9401
(616) 331-3329
(616) 331-3232
Mailing address
1 CAMPUS DR, GRAND VALLEY STATE UNIVERSITY, 84 FIELD HOUSE, ALLENDALE, MI 49401-9401
(616) 331-3329
(616) 331-3232

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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