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1811951312
LARRY RICHARD MUNGER
LUBBOCK, TX
NPI
1811951312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2870)
Enumeration Date
2006-04-13
Last Update Date
2007-07-09
Business Address
-- LARRY RICHARD MUNGER ATC, CSCS
6TH & BOSTON BOX 43021
LUBBOCK, TX 79409-3021
Phone number: 806-742-5111
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Mailing Address
-- LARRY RICHARD MUNGER ATC, CSCS
3413 62ND ST
LUBBOCK, TX 79413-5422
Phone number: 806-742-5111
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