Individual
TANNER JAMES BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(269) 491-5277
Mailing address
50691 CREGLOW RD, MARCELLUS, MI 49067-9387
(269) 491-5277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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