Individual
MR. GABINO OLIVAREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T
Contact information
Practice address
100 CHAMPIONS PL, EL PASO, TX 79912-3725
(915) 834-2465
(915) 587-6458
Mailing address
653 SKYDALE DR, EL PASO, TX 79912-4241
(915) 587-0312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2587
TX
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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