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1083601850
PAUL P GORMAN
EVANSVILLE, IN
NPI
1083601850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000651A)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
-- PAUL P GORMAN A.T.,C. ; P.T.A.
533 W COLUMBIA ST
EVANSVILLE, IN 47710-1617
Phone number: 812-759-3001
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Mailing Address
-- PAUL P GORMAN A.T.,C. ; P.T.A.
9400 SLATE RD
EVANSVILLE, IN 47720-8002
Phone number:
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