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1699245092
JONATHAN ISAAC WIMBERLEY
LUBBOCK, TX
NPI
1699245092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3892)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
Mr. JONATHAN ISAAC WIMBERLEY MAT, LAT, ATC
16302 LOOP 493
LUBBOCK, TX 79423-7805
Phone number: 806-863-7015
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Mailing Address
Mr. JONATHAN ISAAC WIMBERLEY MAT, LAT, ATC
16302 LOOP 493
LUBBOCK, TX 79423-7805
Phone number: 806-863-7015
Copy
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