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1750851960
DEREK BODO
YOUNGSTOWN, OH
NPI
1750851960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
DEREK BODO
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555-0001
Phone number: 330-941-9000
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Mailing Address
DEREK BODO
60 N RACCOON RD APT 40
AUSTINTOWN, OH 44515-2709
Phone number: 330-207-1797
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