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1750411252
SHELLY A MACIAS
LUBBOCK, TX
NPI
1750411252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT 1424)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- SHELLY A MACIAS LAT
3307 VICKSBURG AVE
LUBBOCK, TX 79410-2321
Phone number: 806-766-0632
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Mailing Address
-- SHELLY A MACIAS LAT
2515 COUNTY ROAD 7450
LUBBOCK, TX 79423-6937
Phone number: 806-687-1057
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