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1053956995
THOMAS W ALLEN
DEL VALLE, TX
NPI
1053956995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT0824)
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
Mr. THOMAS W ALLEN LAT
5201 ROSS RD
DEL VALLE, TX 78617-3202
Phone number: 512-386-3261
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Mailing Address
Mr. THOMAS W ALLEN LAT
8651 BARROW GLEN LOOP
AUSTIN, TX 78749-3623
Phone number: 512-750-3673
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