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1578785978
KHALIL S COLTRAIN
WACO, TX
NPI
1578785978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 1687)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mr. KHALIL S COLTRAIN A.T.C.
150 BEAR RUN
WACO, TX 76710
Phone number: 254-710-3046
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Mailing Address
Mr. KHALIL S COLTRAIN A.T.C.
7333 BRENTWOOD CIR
WACO, TX 76712
Phone number: 254-710-3046
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