GRANT LOUIS BARGENDER

WACO, TX
NPI1770970667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT6330)
Enumeration Date2015-04-19
Last Update Date2017-01-11
Business Address
-- GRANT LOUIS BARGENDER LAT, ATC
1500 S. UNIVERSITY PARKS DR BAYLOR ATHLETIC TRAINING
WACO, TX 76706
Phone number: 715-507-1151
Mailing Address
-- GRANT LOUIS BARGENDER LAT, ATC
PO BOX 274 112 E MAPLE ST
EDGAR, WI 54426-0274
Phone number: 715-507-1151
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