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Individual

IRIS FIAUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4400 MLK JR PKWY, BEAUMONT, TX 77705
(206) 661-5847
Mailing address
211 REDBIRD LN, BEAUMONT, TX 77705-9801
(206) 661-5847

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8148
TX

Other

Enumeration date
11/08/2019
Last updated
07/23/2020
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