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Jackson Spencer
NPI 1306379169 · on the registry since 2017 · sole proprietor
Practice
- Address
- 627 Kenneth St
Moscow, ID 83843 - Phone
- (208) 310-3255
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2017-04-09
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 Idaho