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1063625564
JOAN PAULINE MOULTON
PLANO, TX
NPI
1063625564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 050102050)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Mrs. JOAN PAULINE MOULTON ATC, LAT
2200 INDEPENDENCE PKWY
PLANO, TX 75075-3143
Phone number: 469-752-9518
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Mailing Address
Mrs. JOAN PAULINE MOULTON ATC, LAT
18665 MIDWAY RD APT 1912
DALLAS, TX 75287-3951
Phone number: 972-977-6856
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