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1720290778
GREGORY LEE MACDONALD
TERRE HAUTE, IN
NPI
1720290778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000882A)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mr. GREGORY LEE MACDONALD ATC, CSCS
2804 KINGS CT
TERRE HAUTE, IN 47802-3356
Phone number: 812-243-2685
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Mailing Address
Mr. GREGORY LEE MACDONALD ATC, CSCS
2804 KINGS CT
TERRE HAUTE, IN 47802-3356
Phone number: 812-243-2685
Copy
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