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1164071221
AUSTIN DOUGLAS
ROUND ROCK, TX
NPI
1164071221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7425)
Enumeration Date
2019-09-10
Last Update Date
2023-11-27
Business Address
AUSTIN DOUGLAS LAT
300A UNIVERSITY BLVD
ROUND ROCK, TX 78665-1032
Phone number: 512-673-8275
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Mailing Address
AUSTIN DOUGLAS LAT
1021 MELANIES WALK
PFLUGERVILLE, TX 78660-3209
Phone number: 512-673-8275
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