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Individual

ADRIAN ROSALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2418 COLUMBUS AVE, FORT WORTH, TX 76164-7861
(682) 553-9451
Mailing address
2418 COLUMBUS AVE, FORT WORTH, TX 76164-7861
(682) 553-9451

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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