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1235451451
ANDRE JAMES MICKAN
ARLINGTON, TX
NPI
1235451451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2967)
Enumeration Date
2010-02-16
Last Update Date
2010-02-16
Business Address
Mr. ANDRE JAMES MICKAN LAT, M.Ed
515 W MAYFIELD RD STE 116
ARLINGTON, TX 76014-2084
Phone number: 972-623-2629
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Mailing Address
Mr. ANDRE JAMES MICKAN LAT, M.Ed
515 W MAYFIELD RD STE 116
ARLINGTON, TX 76014-2084
Phone number:
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