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1558089961
JACK PETER RATHKAMP
LUBBOCK, TX
NPI
1558089961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
JACK PETER RATHKAMP
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-1000
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Mailing Address
JACK PETER RATHKAMP
3130 4TH ST APT 305
LUBBOCK, TX 79415-3296
Phone number: 414-331-2768
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