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1982967006
BRYAN FREDRICK KOCH
BIRMINGHAM, AL
NPI
1982967006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 378)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
-- BRYAN FREDRICK KOCH ATC
608 13TH ST S WB 104
BIRMINGHAM, AL 35294
Phone number: 205-934-7588
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Mailing Address
-- BRYAN FREDRICK KOCH ATC
608 13TH ST S WB 104
BIRMINGHAM, AL 35294
Phone number: 205-934-7588
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