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1134696552
AGUSTIN MELENDEZ
SAN ANTONIO, TX
NPI
1134696552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7692)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
AGUSTIN MELENDEZ ATC, LAT
4301 BROADWAY ST
SAN ANTONIO, TX 78209-6318
Phone number: 210-829-3834
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Mailing Address
AGUSTIN MELENDEZ ATC, LAT
15651 CHASE HILL BLVD APT 1510
SAN ANTONIO, TX 78256-1070
Phone number: 409-457-5817
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