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Individual

LARAMIE ANN GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 COUNTY ROAD 388, FALLS CITY, TX 78113-3048
(830) 391-2702
Mailing address
1025 COUNTY ROAD 388, FALLS CITY, TX 78113-3048
(830) 391-2702

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
14063560-4810
UT
2255A2300X
Athletic Trainer
ATR-LAT-LIC-2926
MT
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000055578
NATA BOC
Enumeration date
08/23/2023
Last updated
07/11/2024
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