BRADY BAKER

CHAMPAIGN, IL
NPI1578071296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004281)
Enumeration Date2018-01-16
Last Update Date2018-01-16
Business Address
BRADY BAKER
1206 S 4TH ST
CHAMPAIGN, IL 61820-6953
Phone number: 816-548-9330
Mailing Address
BRADY BAKER
1402 S 1ST ST
CHAMPAIGN, IL 61820-6916
Phone number:
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