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1649793019
WILLIAM BRADLEY ADERHOLT
CLINTON, MS
NPI
1649793019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0844)
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
WILLIAM BRADLEY ADERHOLT LAT, ATC
200 CAPITOL ST
CLINTON, MS 39056-4026
Phone number: 601-925-3000
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Mailing Address
WILLIAM BRADLEY ADERHOLT LAT, ATC
6721 WASHINGTON AVE APT 7I
OCEAN SPRINGS, MS 39564-2139
Phone number: 662-436-3571
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