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1912559535
ALEX JACE NELSON
LUFKIN, TX
NPI
1912559535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7106)
Enumeration Date
2019-07-13
Last Update Date
2019-07-13
Business Address
ALEX JACE NELSON ATC, LAT
309 S MEDFORD DR
LUFKIN, TX 75901-5245
Phone number: 936-632-7656
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Mailing Address
ALEX JACE NELSON ATC, LAT
108 REGISTER CT
LUFKIN, TX 75901-7950
Phone number: 509-599-0332
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