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1215128657
BRIAN JAMES DRISCOLL
LAS VEGAS, NV
NPI
1215128657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
BRIAN JAMES DRISCOLL LAT, ATC
6321 BRUMA AVE
LAS VEGAS, NV 89122-1908
Phone number: 319-621-3067
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Mailing Address
BRIAN JAMES DRISCOLL LAT, ATC
6321 BRUMA AVE
LAS VEGAS, NV 89122-1908
Phone number: 319-621-3067
Copy
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