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1013533603
CALEB MONTGOMERY BURLESON
AUSTIN, TX
NPI
1013533603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
CALEB MONTGOMERY BURLESON
COLLEGE OF EDUCATION 1912 SPEEDWAY, STOP D5000
AUSTIN, TX 78712
Phone number: 512-471-3434
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Mailing Address
CALEB MONTGOMERY BURLESON
6018 RONCHAMPS DR
ROUND ROCK, TX 78681-5330
Phone number:
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