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1093957672
BRADLEY MICHAEL FARRELL
RALEIGH, NC
NPI
1093957672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT505)
Enumeration Date
2009-03-30
Last Update Date
2021-02-09
Business Address
MR. BRADLEY MICHAEL FARRELL MS, LAT, ATC
723 SAINT MARYS ST
RALEIGH, NC 27605-1424
Phone number: 919-856-7810
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Mailing Address
MR. BRADLEY MICHAEL FARRELL MS, LAT, ATC
723 SAINT MARYS ST
RALEIGH, NC 27605-1424
Phone number: 919-856-7810
Copy
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