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1134633142
GABRIEL ANDRES PERLAZA
AUSTIN, TX
NPI
1134633142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4348)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
GABRIEL ANDRES PERLAZA ATC, LAT
2139 SAN JACINTO BLVD
AUSTIN, TX 78712-1753
Phone number: 512-471-8258
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Mailing Address
GABRIEL ANDRES PERLAZA ATC, LAT
2139 SAN JACINTO BLVD
AUSTIN, TX 78712-1753
Phone number: 512-471-8258
Copy
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