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1255081071
TIMOTHY MICHAEL KELLY
SAN ANTONIO, TX
NPI
1255081071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4991)
Enumeration Date
2022-03-25
Last Update Date
2022-05-17
Business Address
Mr. TIMOTHY MICHAEL KELLY ATC
1170 EAGLE DR BLDG 150
SAN ANTONIO, TX 78236-5705
Phone number: 210-671-9177
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Mailing Address
Mr. TIMOTHY MICHAEL KELLY ATC
1170 EAGLE DR BLDG 150
SAN ANTONIO, TX 78236-5705
Phone number: 210-671-9177
Copy
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