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1093217226
KAYLA DYNISE EWING
WACO, TX
NPI
1093217226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8235)
Enumeration Date
2018-03-04
Last Update Date
2020-06-18
Business Address
KAYLA DYNISE EWING
2201 RICHTER AVE
WACO, TX 76711-1954
Phone number: 254-424-6207
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Mailing Address
KAYLA DYNISE EWING
2201 RICHTER AVE
WACO, TX 76711-1954
Phone number: 254-424-6207
Copy
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