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1033660121
TATIANA BURROUGH
JACKSONVILLE, FL
NPI
1033660121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4276)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- TATIANA BURROUGH
291 MILL ST W
JACKSONVILLE, FL 32234-1307
Phone number: 916-804-8657
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Mailing Address
-- TATIANA BURROUGH
6282 AUTUMN BERRY CIR
JACKSONVILLE, FL 32258-8413
Phone number:
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