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1023450814
MICHAEL STALEY
LIVINGSTON, AL
NPI
1023450814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001906A)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
Mr. MICHAEL STALEY ATC
UWA STATION #14
LIVINGSTON, AL 35470-0000
Phone number: 217-932-3001
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Mailing Address
Mr. MICHAEL STALEY ATC
STATION #14, UWA
LIVINGSTON, AL 35470-0000
Phone number: 217-932-3001
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