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1063046860
JOSEPH BEDFORD
CLEAR LAKE, IA
NPI
1063046860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 000830)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
JOSEPH BEDFORD ATC
7 S 8TH ST STE C
CLEAR LAKE, IA 50428-1927
Phone number: 641-357-1003
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Mailing Address
JOSEPH BEDFORD ATC
7 S 8TH ST STE C
CLEAR LAKE, IA 50428-1927
Phone number:
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