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Individual

JACOB JOHN COREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
(302) 831-8893
Mailing address
540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J1-0014675
DE

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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