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Individual

MRS. NICOLE CHRISTINE CODDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-9585
Mailing address
5201 BRIDGEWOOD DR, KILLEEN, TX 76549-5650
(414) 520-6163

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7368
TX

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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