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1417213984
BRADLEY J AYTES
THE DALLES, OR
NPI
1417213984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10133470)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
-- BRADLEY J AYTES ATC
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-506-5779
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Mailing Address
-- BRADLEY J AYTES ATC
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-506-5779
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