STEVEN BONTRAGER

SCOOBA, MS
NPI1205319183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0511)
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
STEVEN BONTRAGER ATC
1512 KEMPER ST
SCOOBA, MS 39358-7601
Phone number: 662-476-5272
Mailing Address
STEVEN BONTRAGER ATC
1512 KEMPER ST
SCOOBA, MS 39358-7601
Phone number: 662-476-5272
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