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1184054397
BILLY RAY LAXTON
TEMPLE, TX
NPI
1184054397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1120)
Enumeration Date
2013-11-25
Last Update Date
2014-03-20
Business Address
Mr. BILLY RAY LAXTON M.Ed, LAT, ATC,
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2421
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Mailing Address
Mr. BILLY RAY LAXTON M.Ed, LAT, ATC,
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2421
Copy
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