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1669724225
BRIAN MYCHAL ENRIQUEZ
CARSON, CA
NPI
1669724225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000009460)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
Mr. BRIAN MYCHAL ENRIQUEZ M.S., ATC
21817 FIGUEROA ST UNIT 12
CARSON, CA 90745-1919
Phone number: 310-735-5238
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Mailing Address
Mr. BRIAN MYCHAL ENRIQUEZ M.S., ATC
21817 FIGUEROA ST UNIT 12
CARSON, CA 90745-1919
Phone number: 310-735-5238
Copy
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