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1114591138
JOAQUIN JOSE VILLARREAL
LAREDO, TX
NPI
1114591138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT-2841)
Enumeration Date
2021-05-14
Last Update Date
2021-05-27
Business Address
JOAQUIN JOSE VILLARREAL LAT
416 ROYAL OAKS ST
LAREDO, TX 78043-5077
Phone number: 956-236-4822
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Mailing Address
JOAQUIN JOSE VILLARREAL LAT
416 ROYAL OAKS ST
LAREDO, TX 78043-5077
Phone number: 956-236-4822
Copy
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