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Individual

SABRINA QUEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
105 N AUSTIN AVE, APT #9106, GEORGETOWN, TX 78626-4239
(512) 699-4213
Mailing address
105 N AUSTIN AVE, APT #9106, GEORGETOWN, TX 78626-4239
(512) 699-4213

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5605
TX

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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