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Individual

GUADALUPE MEXICANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
17580 I H 45 S, CONROE, TX 77384-4972
(936) 267-7841
Mailing address
17580 I H 45 S, CONROE, TX 77384-4972

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7181
TX

Other

Enumeration date
11/12/2019
Last updated
08/12/2020
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