Individual
VANCE PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8650 SOUTHWESTERN BLVD APT 2710, DALLAS, TX 75206-2682
(910) 915-3202
Mailing address
8650 SOUTHWESTERN BLVD APT 2710, DALLAS, TX 75206-2682
(910) 915-3202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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