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Individual

BRIA MANLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4109 DOUGLAS MACARTHUR RD NE, ALBUQUERQUE, NM 87110-1083
(505) 721-6974
Mailing address
4109 DOUGLAS MACARTHUR RD NE, ALBUQUERQUE, NM 87110-1083
(505) 721-6974

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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