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Name

Mark Broxterman
Mobile Phone 5113-505-7677
Home Phone
Work Phone
Address 4560 Logsdons Meadow Dr
City Liberty Twp
Zip Code 45011
Personal Information
Sex Male
Birthday Month Day, Year (year optional, just put 0000 for year)
Soccer Credentials
USSF Grade none
NISOA Certified none
SAY Certification none
OHSAA State ID 216932
OHSAA Class Class 2
MWSOA Member Since 2023
Certified Instructor
Certified Assessor