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1548470610
RUSSELL A BRADT
BIRMINGHAM, AL
NPI
1548470610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 921)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- RUSSELL A BRADT ATC
700 MONTGOMERY HWY MB 100-A
BIRMINGHAM, AL 35216-1866
Phone number: 205-824-4525
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Mailing Address
-- RUSSELL A BRADT ATC
3460 MANOR LN APT. 301
BIRMINGHAM, AL 35209-5666
Phone number:
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