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Individual

JACOB JAMES TOLLEFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
3650 WOODLAND AVE, WEST DES MOINES, IA 50266-1970
(515) 663-4000
Mailing address
302 5TH AVE SW, STATE CENTER, IA 50247-2016
(641) 485-8639

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
132799
IA

Other

Enumeration date
05/15/2025
Last updated
05/23/2025
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