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1922564533
CODY AHLGRIMM
CORSICANA, TX
NPI
1922564533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8056)
Enumeration Date
2019-02-19
Last Update Date
2020-05-05
Business Address
CODY AHLGRIMM LAT, ATC
3200 W 7TH AVE
CORSICANA, TX 75110-4899
Phone number: 719-510-9762
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Mailing Address
CODY AHLGRIMM LAT, ATC
704 N 14TH ST
CORSICANA, TX 75110-3844
Phone number:
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