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1477577500
THOMAS M BRUNDAGE
JEFFERSON CITY, MO
NPI
1477577500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 106726)
Enumeration Date
2006-07-26
Last Update Date
2015-03-18
Business Address
-- THOMAS M BRUNDAGE ATC
1002 DIAMOND RDG STE 800
JEFFERSON CITY, MO 65109-7906
Phone number: 573-761-9360
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Mailing Address
-- THOMAS M BRUNDAGE ATC
3301 BERRYWOOD DR SUITE 204
COLUMBIA, MO 65201-6517
Phone number: 573-449-8771
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