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1669224184
BRADLEY ROBERT MUNOS
DECATUR, IL
NPI
1669224184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.005475)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
BRADLEY ROBERT MUNOS ATC, MS, LAT
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2981
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Mailing Address
BRADLEY ROBERT MUNOS ATC, MS, LAT
1672 W HARRISON AVE
DECATUR, IL 62526-3439
Phone number: 217-853-2440
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