Individual
MR. STEVE JOSEPH GUADALUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
5339 DEEP LAKE DR, GRAND PRAIRIE, TX 75052-0618
(972) 336-0049
Mailing address
5339 DEEP LAKE DR, GRAND PRAIRIE, TX 75052-0618
(972) 336-0049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2710
TX
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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