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1215442116
GLENN R SCHWAB
GEORGETOWN, TX
NPI
1215442116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2559)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
Mr. GLENN R SCHWAB ATC, LAT
1001 E UNIVERSITY AVE
GEORGETOWN, TX 78626-6100
Phone number: 512-863-1697
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Mailing Address
Mr. GLENN R SCHWAB ATC, LAT
PO BOX 770
GEORGETOWN, TX 78627-0770
Phone number: 512-863-1697
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