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1790171379
CASEY ELDER
IRVING, TX
NPI
1790171379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5887)
Enumeration Date
2015-04-10
Last Update Date
2015-04-10
Business Address
Mr. CASEY ELDER LAT,ATC
900 NORTH O'CONNOR
IRVING, TX 75061
Phone number: 972-600-6481
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Mailing Address
Mr. CASEY ELDER LAT,ATC
2709 NEEDLES ST
EULESS, TX 76040-6386
Phone number: 817-845-5514
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