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1841929403
EXALANDER SAMUEL MAGALLAN
IRVING, TX
NPI
1841929403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 2000051069)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
EXALANDER SAMUEL MAGALLAN MS, LAT, ATC
1901 N MACARTHUR BLVD
IRVING, TX 75061-2220
Phone number: 972-579-8100
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Mailing Address
EXALANDER SAMUEL MAGALLAN MS, LAT, ATC
4725 N O CONNOR RD APT 2048
IRVING, TX 75062-2234
Phone number: 432-934-5666
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