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1407203060
ROBERT W BRODDUS
SALISBURY, MD
NPI
1407203060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000758)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
Mr. ROBERT W BRODDUS LAT, ATC
1101 CAMDEN AVE SALISBURY UNIVERSITY
SALISBURY, MD 21801-6837
Phone number: 410-543-6355
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Mailing Address
Mr. ROBERT W BRODDUS LAT, ATC
124 DREXLER AVE S
LIVERPOOL, NY 13088-6634
Phone number: 315-382-8107
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