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Individual

DARNELL A BRUNDAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
BOX T-0080, STEPHENVILLE, TX 76402-0001
(254) 968-1809
Mailing address
340 S BARTON ST, STEPHENVILLE, TX 76401-5721

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3686
TX

Other

Enumeration date
02/18/2008
Last updated
02/18/2008
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