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1871622589
JAY A. BRADLEY
INDIANAPOLIS, IN
NPI
1871622589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000217A)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. JAY A. BRADLEY LAT, ATC
901 W NEW YORK ST
INDIANAPOLIS, IN 46202-5224
Phone number: 317-274-0617
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Mailing Address
Mr. JAY A. BRADLEY LAT, ATC
5433 COTTON BAY DR W
INDIANAPOLIS, IN 46254-4525
Phone number: 317-299-6650
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