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1548701204
JOHANNA PUETZ
GEORGETOWN, TX
NPI
1548701204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6184)
Enumeration Date
2017-03-14
Last Update Date
2017-03-14
Business Address
-- JOHANNA PUETZ L.A.T.
412 DERBY LN
GEORGETOWN, TX 78626-6322
Phone number: 512-966-8045
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Mailing Address
-- JOHANNA PUETZ L.A.T.
412 DERBY LN
GEORGETOWN, TX 78626-6322
Phone number: 512-966-8045
Copy
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