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1114611464
BRIAN JAY WEISSMULLER
CLEARWATER, FL
NPI
1114611464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5709)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
BRIAN JAY WEISSMULLER ATC
1371 CAMPBELL CT
CLEARWATER, FL 33756-2211
Phone number: 973-903-7089
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Mailing Address
BRIAN JAY WEISSMULLER ATC
1371 CAMPBELL CT
CLEARWATER, FL 33756-2211
Phone number: 973-903-7089
Copy
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