Individual
MR. GREGORY GEORGE BOZEKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
OHIO UNIVERSITY, GROVER E207, ATHENS, OH 45701-2979
(740) 593-9497
Mailing address
217 CORDELIA ST SW, NORTH CANTON, OH 44720-3503
(330) 497-7295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002630
OH
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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