Individual
MARK WANDAL DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT/ATC
Contact information
Practice address
2237 SOUTH JACKSON, SAN ANGELO, TX 76904
(325) 658-5681
(325) 481-2023
Mailing address
2237 SOUTH JACKSON, SAN ANGELO, TX 76904
(325) 658-5681
(325) 481-2023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT0828
LICENSED ATHLETIC TRAINER
TX
Enumeration date
07/10/2018
Last updated
07/10/2018
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