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1164570263
CATHY POERNER SUPAK
HOUSTON, TX
NPI
1164570263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT-0797)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Mrs. CATHY POERNER SUPAK ATC, LAT
18100 SAINT JOHN DR SUITE 100
HOUSTON, TX 77058-3631
Phone number: 281-333-8806
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Mailing Address
Mrs. CATHY POERNER SUPAK ATC, LAT
14714 GRAYWOOD GROVE LN
HOUSTON, TX 77062-2108
Phone number: 281-480-1417
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