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1467917997
AUSTIN FRAZIER
LAS CRUCES, NM
NPI
1467917997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM AT768)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
AUSTIN FRAZIER ATC
1181 MALL DR STE C
LAS CRUCES, NM 88011-8105
Phone number: 575-522-0766
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Mailing Address
AUSTIN FRAZIER ATC
3057 AGUA LADOSO AVE
LAS CRUCES, NY 88012
Phone number:
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