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1669925087
LEROY SAM
DALLAS, TX
NPI
1669925087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6743)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
-- LEROY SAM ATC, LAT, LMT
6060 DILBECK LN
DALLAS, TX 75240-5351
Phone number: 972-385-3643
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Mailing Address
-- LEROY SAM ATC, LAT, LMT
943 LAKE GROVE DR
LITTLE ELM, TX 75068-8447
Phone number: 504-701-6845
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