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1083047583
CHAD WAYNE SUTHERLAND
SAN ANTONIO, TX
NPI
1083047583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2301)
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
-- CHAD WAYNE SUTHERLAND ATC, LAT
21702 LAWREY DR
SAN ANTONIO, TX 78259-2039
Phone number: 210-632-5200
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Mailing Address
-- CHAD WAYNE SUTHERLAND ATC, LAT
21702 LAWREY DR
SAN ANTONIO, TX 78259-2039
Phone number: 210-632-5200
Copy
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