Individual
JACOB STEVEN BONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5190
Mailing address
1400 BRIGGS ST APT A, STEVENS POINT, WI 54481-2814
(920) 627-7139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3192-39
WI
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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