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1023298106
BENJAMIN BRADFORD FRASER
TERRE HAUTE, IN
NPI
1023298106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001450A)
Enumeration Date
2007-11-06
Last Update Date
2007-11-06
Business Address
Mr. BENJAMIN BRADFORD FRASER ATC, LAT, CSCS
ATHLETIC TRAINING DEPARTMENT C-06 INDIANA STATE UNIVERSITY
TERRE HAUTE, IN 47809-0001
Phone number: 812-237-8232
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Mailing Address
Mr. BENJAMIN BRADFORD FRASER ATC, LAT, CSCS
ATHLETIC TRAINING DEPARTMENT C-06 INDIANA STATE UNIVERSITY
TERRE HAUTE, IN 47809-0001
Phone number:
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