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1457408353
BRETT A WALDON
RUSSELLVILLE, AR
NPI
1457408353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT313)
Enumeration Date
2007-01-04
Last Update Date
2015-07-16
Business Address
-- BRETT A WALDON MS, ATC, LAT, CSCS
1306 N EL PASO AVE
RUSSELLVILLE, AR 72801-8814
Phone number: 479-968-0642
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Mailing Address
-- BRETT A WALDON MS, ATC, LAT, CSCS
4520 VICTORIA DR
FORT SMITH, AR 72904-6364
Phone number: 479-285-4263
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