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1801581210
NATHAN MARK BOHMAN
LOGAN, UT
NPI
1801581210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
NATHAN MARK BOHMAN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
NATHAN MARK BOHMAN
765 E 800 N
LOGAN, UT 84321-3519
Phone number: 435-265-5709
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