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1033654843
NICOLE A DEVLIEGER
TAMPA, FL
NPI
1033654843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL4899)
Enumeration Date
2017-01-03
Last Update Date
2019-08-01
Business Address
NICOLE A DEVLIEGER
4539 S DALE MABRY HWY STE 110
TAMPA, FL 33611
Phone number: 813-250-1208
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Mailing Address
NICOLE A DEVLIEGER
11526 LEDA LN
NEW PORT RICHEY, FL 34654-6237
Phone number: 727-265-0995
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