CODY ROBERT CORNTASSEL

WACO, TX
NPI1972992295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT5653)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
Mr. CODY ROBERT CORNTASSEL ATC, LAT
415 OWEN LN APT 713
WACO, TX 76710-8910
Phone number: 918-961-1527
Mailing Address
Mr. CODY ROBERT CORNTASSEL ATC, LAT
415 OWEN LN APT 713
WACO, TX 76710-8910
Phone number: 918-961-1527
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