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1386066850
SUSAN NILES
SPRING, TX
NPI
1386066850
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Former Name
SUSAN STROMBLAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT3765)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
SUSAN NILES MSE, ATC, LAT
19428 I-45 NORTH
SPRING, TX 77373
Phone number: 281-891-7084
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Mailing Address
SUSAN NILES MSE, ATC, LAT
17022 HILL VIEW LN
SPRING, TX 77379-4536
Phone number: 281-736-5563
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