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1942552773
MATTHEW JASON DOLES
BRYAN, TX
NPI
1942552773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2540)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
Mr. MATTHEW JASON DOLES ATC, LAT
2317 KENT ST
BRYAN, TX 77802-1936
Phone number: 979-575-1506
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Mailing Address
Mr. MATTHEW JASON DOLES ATC, LAT
2317 KENT ST
BRYAN, TX 77802-1936
Phone number: 979-575-1506
Copy
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