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Individual

DAVID BENJAMIN TRAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
9450 RAY WHITE RD, KELLER, TX 76248-6110
(817) 744-2051
Mailing address
5104 ROUNDTREE CT, HALTOM CITY, TX 76137-2194
(817) 744-2051
(817) 744-2254

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1930
TX

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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