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1922754225
PHILLIP JASON ALLEN
LEANDER, TX
NPI
1922754225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2250)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
PHILLIP JASON ALLEN LAT
1320 COLLABORATIVE WAY
LEANDER, TX 78641-9081
Phone number: 125-701-4805
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Mailing Address
PHILLIP JASON ALLEN LAT
432 MILLARD ST
GEORGETOWN, TX 78628-2024
Phone number: 512-422-3489
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