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1932628617
ERIC WILLIAM BORNHOLDT
BEAVERCREEK, OH
NPI
1932628617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4599)
Enumeration Date
2017-09-14
Last Update Date
2017-09-14
Business Address
ERIC WILLIAM BORNHOLDT ATC
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324-2640
Phone number: 937-245-7550
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Mailing Address
ERIC WILLIAM BORNHOLDT ATC
2446 HEATHER GLEN DR #4
BEAVERCREEK, OH 45431
Phone number: 507-272-9602
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