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1902074560
DARNELL A BRUNDAGE
STEPHENVILLE, TX
NPI
1902074560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3686)
Enumeration Date
2008-02-18
Last Update Date
2008-02-18
Business Address
-- DARNELL A BRUNDAGE LAT
BOX T-0080
STEPHENVILLE, TX 76402-0001
Phone number: 254-968-1809
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Mailing Address
-- DARNELL A BRUNDAGE LAT
340 S BARTON ST
STEPHENVILLE, TX 76401-5721
Phone number:
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