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1245327915
RICHARD JOSEPH BOERGERS
CORAM, NY
NPI
1245327915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001088)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Mr. RICHARD JOSEPH BOERGERS ATC
8 MOUNT SNOW LN
CORAM, NY 11727-2025
Phone number: 631-828-2608
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Mailing Address
Mr. RICHARD JOSEPH BOERGERS ATC
8 MOUNT SNOW LN
CORAM, NY 11727-2025
Phone number: 631-828-2608
Copy
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