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1619420593
STEVE PRENTISS
TEMPLE, TX
NPI
1619420593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1487)
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
-- STEVE PRENTISS ATC, LAT
415 N 31ST ST
TEMPLE, TX 76504-2426
Phone number: 254-721-7930
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Mailing Address
-- STEVE PRENTISS ATC, LAT
415 N 31ST ST
TEMPLE, TX 76504-2426
Phone number: 254-721-7930
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