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1447703699
GERARDO SANDOVAL
SAN ANTONIO, TX
NPI
1447703699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4458)
Enumeration Date
2016-07-24
Last Update Date
2016-07-24
Business Address
-- GERARDO SANDOVAL LAT
715 INSPIRATION DR
SAN ANTONIO, TX 78228-1740
Phone number: 210-831-3142
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Mailing Address
-- GERARDO SANDOVAL LAT
715 INSPIRATION DR
SAN ANTONIO, TX 78228-1740
Phone number: 210-831-3142
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