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1811180003
GORDON RAY SINNING
BLOOMINGTON, IN
NPI
1811180003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001194A)
Enumeration Date
2007-08-22
Last Update Date
2008-03-11
Business Address
-- GORDON RAY SINNING MS, LAT,ATC
2701 N KINSER PIKE
BLOOMINGTON, IN 47404-1825
Phone number: 812-219-9817
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Mailing Address
-- GORDON RAY SINNING MS, LAT,ATC
2701 N KINSER PIKE
BLOOMINGTON, IN 47404-1825
Phone number:
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