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1801372974
TYLER HUDSON
WEST LAFAYETTE, IN
NPI
1801372974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002994A)
Enumeration Date
2018-07-12
Last Update Date
2022-04-14
Business Address
TYLER HUDSON MAT, LAT, ATC, CEIS
550 STADIUM MALL DRIVE HAMP
WEST LAFAYETTE, IN 47907
Phone number: 317-800-5137
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Mailing Address
TYLER HUDSON MAT, LAT, ATC, CEIS
550 STADIUM MALL DRIVE HAMP B292
WEST LAFAYETTE, IN 47907
Phone number: 317-800-5137
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