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1386791903
JEFFERY LYNN POTTHOFF
SAN ANTONIO, TX
NPI
1386791903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT0624)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
MR. JEFFERY LYNN POTTHOFF ATC, LAT, CST
540 MADISON OAK DR SUITE 690
SAN ANTONIO, TX 78258-3943
Phone number: 210-491-3434
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Mailing Address
MR. JEFFERY LYNN POTTHOFF ATC, LAT, CST
515 SPRINGWOOD LN
ADKINS, TX 78101-2711
Phone number: 830-217-4472
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