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1245754969
LUCAS BOCKBRADER
PERRYSBURG, OH
NPI
1245754969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-08-03
Last Update Date
2022-07-21
Business Address
LUCAS BOCKBRADER
11219 REITZ RD
PERRYSBURG, OH 43551-9638
Phone number: 419-346-8834
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Mailing Address
LUCAS BOCKBRADER
11219 REITZ RD
PERRYSBURG, OH 43551-9638
Phone number: 419-346-8834
Copy
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