Individual
MR. JORDAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2801 W BANCROFT ST, TOLEDO, OH 43606
(800) 586-5336
Mailing address
11847 TREEWIND CT, SAN DIEGO, CA 92128-5272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/10/2018
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