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Individual

JACOB LEE HERRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
4560 LAKE RIDGE PKWY STE 300, GRAND PRAIRIE, TX 75052-1706
(214) 278-5000
(214) 278-5001
Mailing address
4560 LAKE RIDGE PKWY STE 300, GRAND PRAIRIE, TX 75052-1706
(214) 278-5000
(214) 278-5001

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7152
TX

Other

Enumeration date
01/05/2021
Last updated
01/12/2021
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