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1215479050
MARCUS BRADLEY WYATT
MAGNOLIA, AR
NPI
1215479050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-11-10
Last Update Date
2016-11-10
Business Address
-- MARCUS BRADLEY WYATT ATC
100 E UNIVERSITY # 8800
MAGNOLIA, AR 71753-2181
Phone number: 870-235-5052
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Mailing Address
-- MARCUS BRADLEY WYATT ATC
100 E UNIVERSITY # 8800
MAGNOLIA, AR 71753-2181
Phone number:
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