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1881184646
WADE LOUIS GRADY
BIRMINGHAM, AL
NPI
1881184646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
WADE LOUIS GRADY
800 LARKSHORE DRIVE
BIRMINGHAM, AL 35209
Phone number: 318-574-2554
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Mailing Address
WADE LOUIS GRADY
800 LAKESHORE DR
BIRMINGHAM, AL 35209-6715
Phone number:
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