ANDRE JAMES MICKAN

ARLINGTON, TX
NPI1235451451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  AT2967)
Enumeration Date2010-02-16
Last Update Date2010-02-16
Business Address
MR. ANDRE JAMES MICKAN LAT, M.ED
515 W MAYFIELD RD STE 116
ARLINGTON, TX 76014-2084
Phone number: 972-623-2629
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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