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1447689765
MICHAEL D RUDISILL
INDIANAPOLIS, IN
NPI
1447689765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: 36000021)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
MICHAEL D RUDISILL LAT, ATC
8429 KANSA CT
INDIANAPOLIS, IN 46217-5015
Phone number: 317-694-4526
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Mailing Address
MICHAEL D RUDISILL LAT, ATC
8429 KANSA CT
INDIANAPOLIS, IN 46217-5015
Phone number: 317-694-4526
Copy
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