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1912499138
JONATHAN BOHORQUEZ
EDISON, NJ
NPI
1912499138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
JONATHAN BOHORQUEZ
314 FOREST DR
EDISON, NJ 08817-2719
Phone number: 908-930-6502
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Mailing Address
JONATHAN BOHORQUEZ
314 FOREST DR
EDISON, NJ 08817-2719
Phone number: 908-930-6502
Copy
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