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1023750361
BRIAN SCOT WELBORN
TEMPLE, TX
NPI
1023750361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10079198)
Enumeration Date
2022-04-07
Last Update Date
2022-04-14
Business Address
BRIAN SCOT WELBORN
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-5815
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Mailing Address
BRIAN SCOT WELBORN
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508-0001
Phone number:
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