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Individual

DARVIN JOHN VILLARICO IGNACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1000 W COURT ST, SEGUIN, TX 78155-5978
(830) 370-8000
Mailing address
345 CHAMPION BLVD APT 121, SAN MARCOS, TX 78666-6779
(850) 607-4623

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6733
TX

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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