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1457838344
SHELBY NICOLE RODRIGUEZ
BEAUMONT, TX
NPI
1457838344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX At7646)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
SHELBY NICOLE RODRIGUEZ ATC, LAT
4400 S M L KING JR PKWY
BEAUMONT, TX 77705-5748
Phone number: 409-880-2359
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Mailing Address
SHELBY NICOLE RODRIGUEZ ATC, LAT
1048 MISTY CLF
DICKINSON, TX 77539-8377
Phone number: 832-561-3352
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