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1841412111
BOBBY GENE BOSWELL
MODESTO, CA
NPI
1841412111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mr. BOBBY GENE BOSWELL atc
3908 VINTAGE COVE
MODESTO, CA 95356
Phone number: 209-545-2820
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Mailing Address
Mr. BOBBY GENE BOSWELL atc
3908 VINTAGE COVE
MODESTO, CA 95356
Phone number: 209-545-2820
Copy
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