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1023593548
PHILIP TIMOTHY BOOR
ANDERSON, IN
NPI
1023593548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
PHILIP TIMOTHY BOOR
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 812-605-8399
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Mailing Address
PHILIP TIMOTHY BOOR
507 COTTAGE AVE
ANDERSON, IN 46012-3436
Phone number: 812-605-8399
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