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1275508921
RICKY GLEN WIGGINS
ARLINGTON, TX
NPI
1275508921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2493)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
Mr. RICKY GLEN WIGGINS MS, ATC, LAT
2525 E ABRAM ST
ARLINGTON, TX 76010-1346
Phone number: 817-652-2269
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Mailing Address
Mr. RICKY GLEN WIGGINS MS, ATC, LAT
PO BOX 494
EDDY, TX 76524-0494
Phone number: 254-931-7655
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