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Individual

RICHARD J GREGOIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
5203 BIG MEADOW LN, KATY, TX 77494-4866
(281) 460-5260
Mailing address
5203 BIG MEADOW LN, KATY, TX 77494-4866
(281) 460-5260

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1117
TX

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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