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1912445297
AUSTIN LEWIS
WACO, TX
NPI
1912445297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7174)
Enumeration Date
2017-02-07
Last Update Date
2020-09-22
Business Address
AUSTIN LEWIS ATC
1500 S UNIVERSITY PARKS DR
WACO, TX 76706-1731
Phone number: 254-709-7731
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Mailing Address
AUSTIN LEWIS ATC
2400 CORPORATION PKWY APT 4207
WOODWAY, TX 76712-6920
Phone number: 254-709-7731
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