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1396296315
CASEY CRADDOCK
MADISON, WI
NPI
1396296315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1912)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- CASEY CRADDOCK LAT, MAT, ATC
1475 ENGINEERING DR
MADISON, WI 53706-1607
Phone number: 608-440-0363
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Mailing Address
-- CASEY CRADDOCK LAT, MAT, ATC
1540 MORRISON ST
MADISON, WI 53703-3816
Phone number: 970-518-9071
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