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1477000883
MARSHALL ANDERSON
GRAND PRAIRIE, TX
NPI
1477000883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2069)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- MARSHALL ANDERSON MS LAT ATC
101 GOPHER BOULEVARD
GRAND PRAIRIE, TX 75051
Phone number: 972-809-5762
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Mailing Address
-- MARSHALL ANDERSON MS LAT ATC
1204 GENESIS DR
MANSFIELD, TX 76063-8650
Phone number: 214-912-4130
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