MARK ALLEN CHISUM

LUBBOCK, TX
NPI1790900405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  ATO692)
Enumeration Date2007-04-16
Last Update Date2007-07-09
Business Address
Mr. MARK ALLEN CHISUM ATC LAT
237 GENOA AVENUE
LUBBOCK, TX 79416
Phone number: 806-742-5111
Mailing Address
Mr. MARK ALLEN CHISUM ATC LAT
237 GENOA AVE
LUBBOCK, TX 79416-1707
Phone number: 806-791-5178
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