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1225574262
CHAD DANIEL SALOMON
BLOOMINGTON, IN
NPI
1225574262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN 81897)
Enumeration Date
2017-01-15
Last Update Date
2017-01-15
Business Address
CHAD DANIEL SALOMON ATS
2036 N WALNUT ST APT A12
BLOOMINGTON, IN 47404-2465
Phone number: 812-267-8853
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Mailing Address
CHAD DANIEL SALOMON ATS
2036 N WALNUT ST APT A12
BLOOMINGTON, IN 47404-2465
Phone number: 812-267-8853
Copy
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