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1124557350
BRIAN STEPHEN NITZ
SILOAM SPRINGS, AR
NPI
1124557350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR AT385)
Enumeration Date
2017-06-10
Last Update Date
2017-06-10
Business Address
BRIAN STEPHEN NITZ ATC
700 N PROGRESS AVE
SILOAM SPRINGS, AR 72761-4349
Phone number: 479-524-5134
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Mailing Address
BRIAN STEPHEN NITZ ATC
2203 W GRANITE ST
SILOAM SPRINGS, AR 72761-3315
Phone number: 479-220-2964
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