BRADLEY C. BRUSH

CARBONDALE, IL
NPI1013985613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000308)
Enumeration Date2006-03-09
Last Update Date2008-12-22
Business Address
Mr. BRADLEY C. BRUSH A.T.C., C.S.C.S.
305 W JACKSON ST SUITE LL02
CARBONDALE, IL 62901-1474
Phone number: 618-549-0721
Mailing Address
Mr. BRADLEY C. BRUSH A.T.C., C.S.C.S.
507 S GREEN ST
ANNA, IL 62906-1103
Phone number: 618-833-4441
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