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1487615902
JIM M BOOHER
BROOKINGS, SD
NPI
1487615902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD 000001)
Enumeration Date
2006-04-01
Last Update Date
2007-07-08
Business Address
JIM M BOOHER PHD, ATC, PT
1047 16TH AVE
BROOKINGS, SD 57007-0001
Phone number: 605-688-5824
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Mailing Address
JIM M BOOHER PHD, ATC, PT
7280 VALLEY VIEW RD
BROOKINGS, SD 57006-7220
Phone number: 605-693-4785
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