JEREMY RYAN BRAZIEL

FAYETTEVILLE, AR
NPI1528344397
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR  AT396)
Enumeration Date2011-10-25
Last Update Date2016-06-06
Business Address
Mr. JEREMY RYAN BRAZIEL ATC
201 W. VAN ASCHE LOOP
FAYETTEVILLE, AR 72703-4974
Phone number: 479-966-4491
Mailing Address
Mr. JEREMY RYAN BRAZIEL ATC
4809 W PLYMOUTH ROCK PL
FAYETTEVILLE, AR 72704-6907
Phone number: 479-966-4055
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