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Individual

ALICIA RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18511 HIGHLANDER MEDICS ST # 220, FORT BLISS, TX 79906-5327
(817) 675-0911
Mailing address
1507 CHEROKEE ST, ARLINGTON, TX 76012-4313
(817) 675-0911

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/17/2015
Last updated
04/11/2023
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