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Individual

DR. JACOB LEGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DAT, ATC

Contact information

Practice address
2401 ONTARIO ST, CLEVELAND, OH 44115-4003
(910) 548-2993
Mailing address
1101 N KOHLER RD, ORRVILLE, OH 44667-9634
(910) 548-2993

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004075
OH

Other

Enumeration date
04/18/2023
Last updated
07/23/2024
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