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1023225984
BRIAN WADE MULLINS
AMARILLO, TX
NPI
1023225984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3622)
Enumeration Date
2007-05-17
Last Update Date
2009-11-30
Business Address
-- BRIAN WADE MULLINS LAT
7000 W 9TH AVE
AMARILLO, TX 79106-1709
Phone number: 806-350-2663
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Mailing Address
-- BRIAN WADE MULLINS LAT
8 WINDY MEADOW LN
CANYON, TX 79015-3213
Phone number: 512-461-3932
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