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1063798429
BRADLEY W. SAGE
BLOOMINGTON, IN
NPI
1063798429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002345A)
Enumeration Date
2011-10-31
Last Update Date
2014-12-05
Business Address
Mr. BRADLEY W. SAGE LAT, ATC, M.S.Ed.
2737 E BRESSINGHAM WAY
BLOOMINGTON, IN 47401-4168
Phone number: 814-746-2696
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Mailing Address
Mr. BRADLEY W. SAGE LAT, ATC, M.S.Ed.
2737 E BRESSINGHAM WAY
BLOOMINGTON, IN 47401-4168
Phone number: 814-746-2696
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