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1235372343
HERMAN C KRUSE
GLASTONBURY, CT
NPI
1235372343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT.003154)
Enumeration Date
2009-04-20
Last Update Date
2009-04-20
Business Address
Mr. HERMAN C KRUSE ATC, LAT
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 800-998-0800
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Mailing Address
Mr. HERMAN C KRUSE ATC, LAT
465 OAK ST
DUNDEE, MI 48131-1311
Phone number: 734-529-2274
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