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1497478408
JUSTIN BRIAN DICKINSON
SAN ANTONIO, TX
NPI
1497478408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8564)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
JUSTIN BRIAN DICKINSON ATC
1303 MCCULLOUGH AVE STE 600
SAN ANTONIO, TX 78212-5608
Phone number: 210-508-9217
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Mailing Address
JUSTIN BRIAN DICKINSON ATC
10415 BEACHBALL BEND
CONVERSE, TX 78109
Phone number: 480-205-6426
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