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1477395390
JACOB BONVILLE
CEDARVILLE, OH
NPI
1477395390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
JACOB BONVILLE
251 N MAIN ST
CEDARVILLE, OH 45314-8501
Phone number: 937-766-7905
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Mailing Address
JACOB BONVILLE
251 N MAIN STREET ATHLETIC TRAINING
CEDARVILLE, OH 45314-9998
Phone number: 207-551-7281
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