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1750832309
JEFFREY HAWTHORNE
FORT WORTH, TX
NPI
1750832309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6182)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- JEFFREY HAWTHORNE LAT, ATC
5100 WILLIE ST
FORT WORTH, TX 76105-2860
Phone number: 817-815-3400
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Mailing Address
-- JEFFREY HAWTHORNE LAT, ATC
3501 ROYAL CREST DR
FORT WORTH, TX 76140-2712
Phone number: 214-235-1956
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