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Individual

REBECCA HUBBARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
805 N MILAM ST, A, SAN AUGUSTINE, TX 75972-1413
(512) 964-7424
Mailing address
805 N MILAM ST, A, SAN AUGUSTINE, TX 75972-1413
(512) 964-7424

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5876
TX

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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