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David Jack, ATC
NPI 1235416686 · on the registry since 2011
Practice
- Address
- 1620 E Bulldog Ln
Fresno, CA 93740 - Phone
- (559) 278-4170
- Fax
- (559) 278-8355
- Organisation at this address
- California State University Fresno Athletic Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2011-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California