CARLY BUDIAC

JEFFERSON CITY, TN
NPI1356884456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  AT 0000001940)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
-- CARLY BUDIAC
2130 BRANNER AVE
JEFFERSON CITY, TN 37760-2210
Phone number: 262-565-7517
Mailing Address
-- CARLY BUDIAC
1646 RUSSELL AVE
JEFFERSON CITY, TN 37760-2204
Phone number:
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