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1992731103
YVONNE HEREDIA-KOSTER
EL PASO, TX
NPI
1992731103
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Former Name
YVONNE HEREDIA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 000070394)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Mrs. YVONNE HEREDIA-KOSTER ATC
2900 PERSHING DR SUITE B
EL PASO, TX 79903-2403
Phone number: 915-562-8525
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Mailing Address
Mrs. YVONNE HEREDIA-KOSTER ATC
6724 DESERT CANYON DR
EL PASO, TX 79912-7604
Phone number: 915-845-3152
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