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1902259260
JESUS HOLGUIN
FORT WORTH, TX
NPI
1902259260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 02621)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- JESUS HOLGUIN LAT, ATC
12350 TIMBERLAND BLVD
FORT WORTH, TX 76244-5558
Phone number: 903-387-1226
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Mailing Address
-- JESUS HOLGUIN LAT, ATC
3805 BROKEN PINE TRL
FORT WORTH, TX 76137-6041
Phone number: 903-387-1226
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