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1134703952
BRIAN MADDOX
RALEIGH, NC
NPI
1134703952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 1812)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
BRIAN MADDOX ATC
2415 HARLINE CT
RALEIGH, NC 27614-7426
Phone number: 978-424-7962
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Mailing Address
BRIAN MADDOX ATC
2415 HARLINE CT
RALEIGH, NC 27614-7426
Phone number:
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