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1336700400
DAM BAE
COLLEGE STATION, TX
NPI
1336700400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
DAM BAE
601 LUTHER ST W APT 1623
COLLEGE STATION, TX 77840-2797
Phone number: 319-621-1940
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Mailing Address
DAM BAE
601 LUTHER ST W APT 1623
COLLEGE STATION, TX 77840-2797
Phone number: 319-621-1940
Copy
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