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1023548187
JUAN FERNANDO MELGOZA
TYLER, TX
NPI
1023548187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
Mr. JUAN FERNANDO MELGOZA ATC
13172 TX-64
TYLER, TX 75707
Phone number: 903-566-2311
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Mailing Address
Mr. JUAN FERNANDO MELGOZA ATC
5610 PAREDES LINE RD
BROWNSVILLE, TX 78526
Phone number: 956-755-9110
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