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1255874749
MARCOS JUNIOR VALLEJO
LUBBOCK, TX
NPI
1255874749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 28434328)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
-- MARCOS JUNIOR VALLEJO
2418 22ND ST
LUBBOCK, TX 79411-1010
Phone number: 210-383-8583
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Mailing Address
-- MARCOS JUNIOR VALLEJO
2418 22ND ST
LUBBOCK, TX 79411-1010
Phone number: 210-383-8583
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