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1629690771
CHAD PATRICK HENNESSEY
GEORGETOWN, TX
NPI
1629690771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2295)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
CHAD PATRICK HENNESSEY ATC, LAT
2211 N AUSTIN AVE
GEORGETOWN, TX 78626-4514
Phone number: 512-943-5000
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Mailing Address
CHAD PATRICK HENNESSEY ATC, LAT
810 WOOD MESA DR
ROUND ROCK, TX 78665-1254
Phone number: 512-677-2896
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