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DEREK BOROIAN ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1386144145

Individual Registrant:
 DEREK  BOROIAN ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
19301 WILLOW BROOK LN  TRABUCO CYN, CA 92679-1187 US
Tel: 949-606-3555  Fax: --

Contact information for business:
1952 W LA PALMA AVE  ANAHEIM, CA 92801-3544 US
Tel: 949-606-3555  Fax: --

Registration Information:
NPI: 1386144145
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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