BRUCE WILLARD

INDIANAPOLIS, IN
NPI1053738047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000670A)
Enumeration Date2014-03-27
Last Update Date2014-03-27
Business Address
-- BRUCE WILLARD LAT, ATC
201 PENNSYLVANIA PARKWAY THOMAS A BRADY SPORTS MEDICINE CENTER PC
INDIANAPOLIS, IN 46280
Phone number: 317-491-5464
Mailing Address
-- BRUCE WILLARD LAT, ATC
10356 PARKSHORE DR
FISHERS, IN 46038-5511
Phone number: 317-491-5464
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