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1801863519
BRAD EDWARD KLEINE
TINLEY PARK, IL
NPI
1801863519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001653)
Enumeration Date
2006-03-01
Last Update Date
2007-07-08
Business Address
-- BRAD EDWARD KLEINE ATC, NASM-PES
17837 80TH AVE
TINLEY PARK, IL 60477-5023
Phone number: 708-342-2500
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Mailing Address
-- BRAD EDWARD KLEINE ATC, NASM-PES
1417 RED TOP LN
MINOOKA, IL 60447-8213
Phone number: 708-670-3520
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