Individual
MR. JACOB POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
KAUFMAN FOOTBALL BUILDING, NORMAL, IL 61790-0001
(818) 903-9377
Mailing address
6347 BOVEY AVE, TARZANA, CA 91335-6528
(818) 903-9377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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