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1518311802
JERAD BRUGGEMAN
LIBERTY, MO
NPI
1518311802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- JERAD BRUGGEMAN ATC
500 COLLEGE HL
LIBERTY, MO 64068-1843
Phone number: 816-415-5954
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Mailing Address
-- JERAD BRUGGEMAN ATC
500 COLLEGE HL
LIBERTY, MO 64068-1843
Phone number: 816-415-5954
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