IVAN LIONEL

SAN ANTONIO, TX
NPI1790430171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT2442)
Enumeration Date2022-02-15
Last Update Date2022-02-15
Business Address
IVAN LIONEL AT
2643 CONCAN ST
SAN ANTONIO, TX 78251-1714
Phone number: 512-689-8273
Mailing Address
IVAN LIONEL AT
2643 CONCAN ST
SAN ANTONIO, TX 78251-1714
Phone number: 512-689-8273
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