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1053975672
ANYA ELIZABETH MALLOCH
SAN MARCOS, TX
NPI
1053975672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 2000027276)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
ANYA ELIZABETH MALLOCH ATC
1975 AQUARENA SPRINGS DR APT 116
SAN MARCOS, TX 78666-8282
Phone number: 517-505-0734
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Mailing Address
ANYA ELIZABETH MALLOCH ATC
1975 AQUARENA SPRINGS DR APT 116
SAN MARCOS, TX 78666-8282
Phone number: 517-505-0734
Copy
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