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MR. FABRICIO BERLANGA LAT LICENSE-AT5556

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1275070617

Individual Registrant:
MR. FABRICIO  BERLANGA LAT LICENSE-AT5556
Gender: M
Sole Proprietor

Location and contact information for practice:
1100 COLLEGE CIR  RANGER, TX 76470-3203 US
Tel: 254-716-7414  Fax: --

Contact information for business:
1010 N 17TH ST  WACO, TX 76707-3022 US
Tel: 254-716-7414  Fax: --

Registration Information:
NPI: 1275070617
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
TXAT5556

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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