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1881965044
AVERI JO ALDERDYCE
RUSK, TX
NPI
1881965044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 050802329)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
-- AVERI JO ALDERDYCE ATC
136 HIGHLAND DR
RUSK, TX 75785-2408
Phone number: 319-480-4628
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Mailing Address
-- AVERI JO ALDERDYCE ATC
136 HIGHLAND DR
RUSK, TX 75785-2408
Phone number: 319-480-4628
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