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1699982447
BRIAN WILLIAM POTTER
ELKINS, WV
NPI
1699982447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001028)
Enumeration Date
2007-05-17
Last Update Date
2016-12-16
Business Address
-- BRIAN WILLIAM POTTER ATC, EMT, OTC
1502 HARRISON AVE
ELKINS, WV 26241-3497
Phone number: 304-637-4509
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Mailing Address
-- BRIAN WILLIAM POTTER ATC, EMT, OTC
19 WOODY DR
BUCKHANNON, WV 26201-2437
Phone number: 304-671-6780
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