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1396774725
MICHAEL JOSEPH CARROLL
STEPHENVILLE, TX
NPI
1396774725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1173)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOSEPH CARROLL M Ed, LAT, ATC
2650 W OVERHILL DR
STEPHENVILLE, TX 76401-1972
Phone number: 254-968-4716
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Mailing Address
-- MICHAEL JOSEPH CARROLL M Ed, LAT, ATC
330 E MCNEIL ST
STEPHENVILLE, TX 76401-4333
Phone number: 254-965-7632
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