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1114250719
MOLLIE YVONNE AYALA
SAN ANTONIO, TX
NPI
1114250719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4435)
Enumeration Date
2009-09-14
Last Update Date
2022-07-21
Business Address
Ms. MOLLIE YVONNE AYALA ATC, LAT
1514 CESAR CHAVEZ
SAN ANTONIO, TX 78210-9648
Phone number: 210-364-8377
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Mailing Address
Ms. MOLLIE YVONNE AYALA ATC, LAT
1124 E DREXEL AVE
SAN ANTONIO, TX 78210-3133
Phone number: 210-634-8377
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