Individual
DR. JUPIL KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2723
Mailing address
16025 S 50TH ST, APT 1094, PHOENIX, AZ 85048-5001
(419) 345-0013
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1554
AZ
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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