Individual
JOHN YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 ENGLISH CREEK AVE, EGG HARBOR TWP, NJ 08234-5549
(866) 856-2880
Mailing address
2500 ENGLISH CREEK AVE, EGG HARBOR TWP, NJ 08234-5549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00176600
NJ
Other
Enumeration date
11/22/2013
Last updated
10/02/2023
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