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Individual

MR. JERRY DON PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.A.T., A.T.C.

Contact information

Practice address
900 COLLEGE ST, BOX 8011, BELTON, TX 76513-2578
(254) 295-4482
(254) 295-5027
Mailing address
3104 RED RIVER RD, BELTON, TX 76513-1018
(254) 899-5452

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0984
TX

Other

Enumeration date
05/17/2007
Last updated
07/25/2013
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