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1720419609
BRIAN HUDSON
WENTZVILLE, MO
NPI
1720419609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2011019227)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
-- BRIAN HUDSON ATC
419 PEARL CREEK DR
WENTZVILLE, MO 63385-5587
Phone number: 606-776-3643
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Mailing Address
-- BRIAN HUDSON ATC
419 PEARL CREEK DR
WENTZVILLE, MO 63385-5587
Phone number: 606-776-3643
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