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1891784351
ADAM BRIAN CLEMENS
BLOOMINGTON, IN
NPI
1891784351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000647A)
Enumeration Date
2005-10-18
Last Update Date
2007-07-08
Business Address
Mr. ADAM BRIAN CLEMENS ATC
1001 E 17TH ST ASSEMBLY HALL
BLOOMINGTON, IN 47408-1590
Phone number: 812-855-4509
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Mailing Address
Mr. ADAM BRIAN CLEMENS ATC
1001 E 17TH ST ASSEMBLY HALL
BLOOMINGTON, IN 47408-1590
Phone number:
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