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1417086141
DARRELL LAYNE GANUS
KILGORE, TX
NPI
1417086141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 1246)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. DARRELL LAYNE GANUS MEd, LAT, ATC
301 N KILGORE ST
KILGORE, TX 75662-5825
Phone number: 903-983-3307
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Mailing Address
Mr. DARRELL LAYNE GANUS MEd, LAT, ATC
806 WOODLAWN ST
KILGORE, TX 75662-3650
Phone number: 903-983-3307
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