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1700878196
BRIAN EDWARD CONWAY
FORT WORTH, TX
NPI
1700878196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 0803)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
-- BRIAN EDWARD CONWAY ATC; LAT
800 5TH AVE SUITE 150
FORT WORTH, TX 76104-7300
Phone number: 817-810-7504
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Mailing Address
-- BRIAN EDWARD CONWAY ATC; LAT
2105 EDGEWOOD CT
ARLINGTON, TX 76013-5408
Phone number: 817-810-7504
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