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1174759195
STEVE JOSEPH GUADALUPE
GRAND PRAIRIE, TX
NPI
1174759195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT2710)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
MR. STEVE JOSEPH GUADALUPE A.T.C., L.A.T.
5339 DEEP LAKE DR
GRAND PRAIRIE, TX 75052-0618
Phone number: 972-336-0049
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Mailing Address
MR. STEVE JOSEPH GUADALUPE A.T.C., L.A.T.
5339 DEEP LAKE DR
GRAND PRAIRIE, TX 75052-0618
Phone number: 972-336-0049
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