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1649264920
DONALD LYNN GLASS
GROESBECK, TX
NPI
1649264920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT0839)
Enumeration Date
2005-09-01
Last Update Date
2007-07-08
Business Address
DONALD LYNN GLASS ATC, LAT
607 E FARRAR ST
GROESBECK, TX 76642-1519
Phone number: 254-729-2946
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Mailing Address
DONALD LYNN GLASS ATC, LAT
607 E FARRAR ST
GROESBECK, TX 76642-1519
Phone number: 254-729-2946
Copy
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