Individual
SETH ALEX JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7931 N 154TH ST, BENNINGTON, NE 68007-1838
(402) 917-8627
Mailing address
7931 N 154TH ST, BENNINGTON, NE 68007-1838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
06/26/2019
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