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1104335843
IVAN PEDRO GARCIA
DALLAS, TX
NPI
1104335843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5961)
Enumeration Date
2017-09-26
Last Update Date
2019-03-28
Business Address
IVAN PEDRO GARCIA ATC, LAT, CES
2200 DENNISON ST
DALLAS, TX 75212-2460
Phone number: 972-502-2718
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Mailing Address
IVAN PEDRO GARCIA ATC, LAT, CES
3640 AVENUE J
FORT WORTH, TX 76105-3237
Phone number: 817-965-6287
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