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1386258341
BENJAMIN T STEFKA
FORT WORTH, TX
NPI
1386258341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX BOC198225)
Enumeration Date
2020-09-06
Last Update Date
2020-09-06
Business Address
BENJAMIN T STEFKA ATC
9936 GESSNER DR
FORT WORTH, TX 76244-5085
Phone number: 469-766-5876
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Mailing Address
BENJAMIN T STEFKA ATC
9936 GESSNER DR
FORT WORTH, TX 76244-5085
Phone number: 469-766-5876
Copy
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