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1427791706
TIMOTHY GERALD BRISTER
TUSCALOOSA, AL
NPI
1427791706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 025)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
Mr. TIMOTHY GERALD BRISTER ATC
6561 SR-69 S
TUSCALOOSA, AL 35405
Phone number: 759-722-1036
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Mailing Address
Mr. TIMOTHY GERALD BRISTER ATC
1691 OZIER DR
TUSCALOOSA, AL 35405-6788
Phone number:
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