Individual
JAY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3118 JACKSON ST, ABILENE, TX 79602-6714
(325) 513-6102
Mailing address
3118 JACKSON ST, ABILENE, TX 79602-6714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4003
TX
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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