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1285280545
THOMAS RICHARD SIMAC
COLUMBIA, KY
NPI
1285280545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
THOMAS RICHARD SIMAC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1223
Phone number: 224-735-6856
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Mailing Address
THOMAS RICHARD SIMAC
2370 CAVE MILL STATION BLVD
BOWLING GREEN, KY 42104-6364
Phone number: 224-735-6856
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