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1124299698
GRADY JONATHAN HARDEMAN
CONCORD, NC
NPI
1124299698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1015)
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
-- GRADY JONATHAN HARDEMAN ATC, LAT, ATC
2338 LOMAX CT
CONCORD, NC 28025-9001
Phone number: 704-786-4321
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Mailing Address
-- GRADY JONATHAN HARDEMAN ATC, LAT, ATC
2338 LOMAX CT
CONCORD, NC 28025-9001
Phone number: 704-786-4321
Copy
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