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1407402837
MARY ADELLE B BREWER
SAN ANTONIO, TX
NPI
1407402837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
MARY ADELLE B BREWER
339 THORMAN PL
SAN ANTONIO, TX 78209-6340
Phone number: 210-872-0751
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Mailing Address
MARY ADELLE B BREWER
339 THORMAN PL
SAN ANTONIO, TX 78209-6340
Phone number: 210-872-0751
Copy
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