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1770590192
BRIAN PATRICK DALLAS
RALEIGH, NC
NPI
1770590192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0849)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- BRIAN PATRICK DALLAS ATC
NCSU SPORTS MED OFFICE
RALEIGH, NC 27695-8502
Phone number: 919-515-2111
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Mailing Address
-- BRIAN PATRICK DALLAS ATC
109 QUIET REFUGE LANE
GARNER, NC 27529
Phone number: 919-274-9901
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