ALEX EDWARD BORON-MAGULICK

EMORY, VA
NPI1295337020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
ALEX EDWARD BORON-MAGULICK
12228 ITTA BENA ROAD
EMORY, VA 24327
Phone number: 276-944-6928
Mailing Address
ALEX EDWARD BORON-MAGULICK
PO BOX 947
EMORY, VA 24327-0947
Phone number:
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