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Individual

ALFREDO ALEJANDRO MOSQUERA NINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1228 TAMU, COLLEGE STATION, TX 77843-3370
(979) 845-3121
Mailing address
3780 COPPERFIELD DR APT 813, BRYAN, TX 77802-5886
(330) 245-7982

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8611
TX

Other

Enumeration date
09/09/2016
Last updated
05/05/2023
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