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1013617554
ALIKS JESUS LORIE
ORLANDO, FL
NPI
1013617554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3523)
Enumeration Date
2023-03-03
Last Update Date
2023-03-03
Business Address
ALIKS JESUS LORIE ATC, LAT
25 W CRYSTAL LAKE ST
ORLANDO, FL 32806-4475
Phone number: 407-254-2500
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Mailing Address
ALIKS JESUS LORIE ATC, LAT
6910 RIVER RUN DR APT 101
TAMPA, FL 33617-9052
Phone number: 305-815-9223
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