Individual
CALEB BURLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 STADIUM DR, BOWLING GREEN, OH 43403-4302
(419) 372-2401
Mailing address
3105 CASPER AVE, HILLIARD, OH 43026-9213
(614) 529-8754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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