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1033169735
DENNIS EDWARD PRUSS
LUBBOCK, TX
NPI
1033169735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT0459)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Mr. DENNIS EDWARD PRUSS ATC, LAT
4601 S LOOP 289
LUBBOCK, TX 79424-2206
Phone number: 806-792-7200
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Mailing Address
Mr. DENNIS EDWARD PRUSS ATC, LAT
8605 OXFORD AVE
LUBBOCK, TX 79423-1925
Phone number: 806-783-8605
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