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Individual

CROSS DONALD KLEMKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
400 BIZZELL ST, COLLEGE STATION, TX 77843-0001
(979) 845-5129
Mailing address
400 MARION PUGH DR APT 1502, COLLEGE STATION, TX 77840-2739
(301) 518-1706

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/27/2017
Last updated
10/27/2017
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