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1821825407
BRENNAN MICHAEL MATTINGLY
SAN ANTONIO, TX
NPI
1821825407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
(Licence: 1710I1003X)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
BRENNAN MICHAEL MATTINGLY IDMT
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-8613
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Mailing Address
BRENNAN MICHAEL MATTINGLY IDMT
6421 W KRISTAL WAY
GLENDALE, AZ 85308-7130
Phone number: 509-675-2787
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