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1336780584
ETHAN THOMAS CHAVEZ
KANSAS CITY, KS
NPI
1336780584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 328474)
Enumeration Date
2019-09-30
Last Update Date
2023-05-04
Business Address
ETHAN THOMAS CHAVEZ ATC
7250 STATE AVE
KANSAS CITY, KS 66112-3003
Phone number: 913-288-7511
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Mailing Address
ETHAN THOMAS CHAVEZ ATC
2407 N FRANKFORD AVE
LUBBOCK, TX 79416-9643
Phone number:
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