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1093180671
CODY PETERMAN
BRYAN, TX
NPI
1093180671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
CODY PETERMAN
803B FRIO CIR
BRYAN, TX 77801-2813
Phone number: 503-508-1950
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Mailing Address
CODY PETERMAN
803B FRIO CIR
BRYAN, TX 77801-2813
Phone number:
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