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1255563490
PETER BROCK
FORT WORTH, TX
NPI
1255563490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4498)
Enumeration Date
2009-08-21
Last Update Date
2016-08-22
Business Address
Mr. PETER BROCK MSEd, ATC, LAT
1201 WESLEYAN STREET
FORT WORTH, TX 76105-1215
Phone number: 817-531-7590
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Mailing Address
Mr. PETER BROCK MSEd, ATC, LAT
1201 WESLEYAN ST
FT WORTH, TX 76105-1536
Phone number: 817-531-7590
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