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1346373602
LORENA ELIZABETH TIDWELL
LAREDO, TX
NPI
1346373602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2882)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mrs. LORENA ELIZABETH TIDWELL ATC
WEST END WASHINTON LAREDO COMMUNITY COLLEGE - ATHLETIC DEPARTMENT
LAREDO, TX 78040
Phone number: 956-721-5326
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Mailing Address
Mrs. LORENA ELIZABETH TIDWELL ATC
P140 FORT MCINTOSH
LAREDO, TX 78040-4344
Phone number: 956-723-1153
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