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1598248791
LEIF MADSEN
BLOOMINGTON, IN
NPI
1598248791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002883A)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
Dr. LEIF MADSEN PhD, ATC
3044 E MATTATHA DR
BLOOMINGTON, IN 47401-4740
Phone number: 608-215-3688
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Mailing Address
Dr. LEIF MADSEN PhD, ATC
3044 E MATTATHA DR
BLOOMINGTON, IN 47401-9413
Phone number: 608-215-3688
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