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Individual
PHILLIP ALEXANDER HOLBROOKS
Active
Individual
PHILLIP ALEXANDER HOLBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274702
BOC
—
Enumeration date
05/31/2017
Last updated
05/31/2017
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