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1790181196
MICHAEL LOUIE BRUNSON
HARLINGEN, TX
NPI
1790181196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1816)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
Mr. MICHAEL LOUIE BRUNSON
8313 LAGO DR
HARLINGEN, TX 78552-6423
Phone number: 956-423-0041
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Mailing Address
Mr. MICHAEL LOUIE BRUNSON
8313 LAGO DR
HARLINGEN, TX 78552-6423
Phone number: 956-423-0041
Copy
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