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1518404698
JACKY ANDREATTA
LUFKIN, TX
NPI
1518404698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3073)
Enumeration Date
2017-01-26
Last Update Date
2018-08-09
Business Address
Mr. JACKY ANDREATTA M.AT, LAT, ATC
1163 HORTONS HOLLOW RD
LUFKIN, TX 75904
Phone number: 940-452-0807
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Mailing Address
Mr. JACKY ANDREATTA M.AT, LAT, ATC
1 COLUMBIA CT
LUFKIN, TX 75901-7212
Phone number: 940-452-0807
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