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Individual

MRS. LIDA CHRISTINE MCCLOSKEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LAT

Contact information

Practice address
100 S FARR ST., IRAAN, TX 79744
(432) 639-2512
Mailing address
PO BOX 146, IRAAN, TX 79744-0146
(432) 639-6087

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2939
TX

Other

Enumeration date
04/07/2006
Last updated
07/08/2007
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