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1275664153
MICHEAL RAY GADDIE
BOWLING GREEN, KY
NPI
1275664153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT218)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- MICHEAL RAY GADDIE M.S., A.T.,C
1906 COLLEGE HEIGHTS BLVD
BOWLING GREEN, KY 42101-1000
Phone number: 270-745-5317
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Mailing Address
-- MICHEAL RAY GADDIE M.S., A.T.,C
592 FARMER LN
BOWLING GREEN, KY 42104-8546
Phone number: 270-745-5317
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