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1043913908
ANDREY BALYKOV
CAPE CORAL, FL
NPI
1043913908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4709)
Enumeration Date
2023-03-22
Last Update Date
2023-03-27
Business Address
Mr. ANDREY BALYKOV ATC ATL
2204 OASIS PALM CIR APT 405
CAPE CORAL, FL 33991-3391
Phone number: 239-560-9185
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Mailing Address
Mr. ANDREY BALYKOV ATC ATL
8099 COLLEGE PKWY
FORT MYERS, FL 33919-5598
Phone number:
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