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1598502049
JACOB STEVEN BONIN
STEVENS POINT, WI
NPI
1598502049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 3192-39)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
JACOB STEVEN BONIN
900 ILLINOIS AVE
STEVENS POINT, WI 54481-3114
Phone number: 715-346-5190
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Mailing Address
JACOB STEVEN BONIN
1400 BRIGGS ST APT A
STEVENS POINT, WI 54481-2814
Phone number: 920-627-7139
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