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1720431257
ASHLEY DANELLE WOMACK
TYLER, TX
NPI
1720431257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6726)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- ASHLEY DANELLE WOMACK ATC, LAT
2695 S SOUTHWEST LOOP 323
TYLER, TX 75701-0753
Phone number: 918-289-9124
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Mailing Address
-- ASHLEY DANELLE WOMACK ATC, LAT
1505 W GRANDE BLVD APT. 812
TYLER, TX 75703-0602
Phone number: 918-289-9124
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