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Individual

MR. BRIAN GLEN BOYLS-WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1000 S STATE ST, ANN ARBOR, MI 48109-2201
(734) 763-9948
Mailing address
647 THE HEIGHTS LN, CALERA, AL 35040-7669
(703) 690-4684

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L920244
MI
2255A2300X
Athletic Trainer

Other

Enumeration date
02/16/2006
Last updated
07/17/2019
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