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1790373827
JACOB LEE HERRING
GRAND PRAIRIE, TX
NPI
1790373827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7152)
Enumeration Date
2021-01-05
Last Update Date
2021-01-12
Business Address
JACOB LEE HERRING ATC, LAT
4560 LAKE RIDGE PKWY STE 300
GRAND PRAIRIE, TX 75052-1706
Phone number: 214-278-5000
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Mailing Address
JACOB LEE HERRING ATC, LAT
4560 LAKE RIDGE PKWY STE 300
GRAND PRAIRIE, TX 75052-1706
Phone number: 214-278-5000
Copy
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