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1063910842
RUNNING WILD SEA, LLC
AUSTIN, TX
NPI
1063910842
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Entity Type
Organization
Authorized Contact
LOANN TRINH
Director
512-944-4585
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
Enumeration Date
2018-01-26
Last Update Date
2018-03-17
Business Address
RUNNING WILD SEA, LLC
8557 RESEARCH BLVD STE 128
AUSTIN, TX 78758-7855
Phone number: 512-836-7399
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Mailing Address
RUNNING WILD SEA, LLC
PO BOX 10414
AUSTIN, TX 78766-1414
Phone number: 512-944-4585
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