Individual
JACK GLEN PALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 SINCLAIR RD, ELLENSBURG, WA 98926-6590
(509) 306-0698
Mailing address
202 SINCLAIR RD, ELLENSBURG, WA 98926-6590
(509) 306-0698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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