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1851514533
SANDRA RA'CHELLE BLACK
LUBBOCK, TX
NPI
1851514533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 020502216)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Ms. SANDRA RA'CHELLE BLACK ATC
8217 AVENUE U APT 4208
LUBBOCK, TX 79423-3411
Phone number: 619-417-3179
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Mailing Address
Ms. SANDRA RA'CHELLE BLACK ATC
8217 AVENUE U APT 4208
LUBBOCK, TX 79423-3411
Phone number: 619-417-3179
Copy
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