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1083463269
TANNER JAMES BOHAN
LYNCHBURG, VA
NPI
1083463269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-05-18
Last Update Date
2024-05-18
Business Address
TANNER JAMES BOHAN
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 269-491-5277
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Mailing Address
TANNER JAMES BOHAN
50691 CREGLOW RD
MARCELLUS, MI 49067-9387
Phone number: 269-491-5277
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