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1144674078
JOSE PENA
ARLINGTON, TX
NPI
1144674078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6283)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- JOSE PENA LAT
103 E 3RD ST UNIT A
ARLINGTON, TX 76010-7388
Phone number: 214-395-5507
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Mailing Address
-- JOSE PENA LAT
103 E 3RD ST UNIT A
ARLINGTON, TX 76010-7388
Phone number: 214-395-5507
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