ERICK A BUITRAGO

TERRE HAUTE, IN
NPI1891705026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001258A)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- ERICK A BUITRAGO M.S.Ed., LAT, ATC
ATHLETIC TRAINING DEPARTMENT ARENA RM B-17
TERRE HAUTE, IN 47809-0001
Phone number: 812-237-4066
Mailing Address
-- ERICK A BUITRAGO M.S.Ed., LAT, ATC
7979 SWEETWATER CT APT. N
TERRE HAUTE, IN 47802-9503
Phone number: 812-237-4066
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