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1619088861
BRADLEY V BLUESTONE
LOUISVILLE, KY
NPI
1619088861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT142)
Enumeration Date
2006-08-31
Last Update Date
2012-12-06
Business Address
Mr. BRADLEY V BLUESTONE ATC
2001 NEWBURG RD
LOUISVILLE, KY 40205-1863
Phone number: 502-272-8379
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Mailing Address
Mr. BRADLEY V BLUESTONE ATC
10305 COOPERWOOD CT
LOUISVILLE, KY 40229-2276
Phone number: 502-969-4310
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