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1093105876
ROBERT CHILDRESS
BOZEMAN, MT
NPI
1093105876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MT ATR-LAT-LIC-1156)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
MR. ROBERT CHILDRESS ATC
2565 TRADE WIND LN #32
BOZEMAN, MT 59718-4634
Phone number: 406-529-4787
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Mailing Address
MR. ROBERT CHILDRESS ATC
2565 TRADE WIND LN #32
BOZEMAN, MT 59718-4634
Phone number: 406-529-4787
Copy
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