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1497209472
JONATHAN SHIPLEY
FORT WORTH, TX
NPI
1497209472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4470)
Enumeration Date
2016-08-08
Last Update Date
2016-08-10
Business Address
-- JONATHAN SHIPLEY
7521 CHARBRAY RD
FORT WORTH, TX 76131-5145
Phone number: 817-253-2115
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Mailing Address
-- JONATHAN SHIPLEY
7521 CHARBRAY RD
FORT WORTH, TX 76131-5145
Phone number: 817-253-2115
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