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1053443267
CHARLES EDWARD BUNTON
TAMPA, FL
NPI
1053443267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 845)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Mr. CHARLES EDWARD BUNTON M.A., ATC, LAT
4811 KELLY RD
TAMPA, FL 33615-5020
Phone number: 813-885-1673
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Mailing Address
Mr. CHARLES EDWARD BUNTON M.A., ATC, LAT
4811 KELLY RD
TAMPA, FL 33615-5020
Phone number: 813-885-1673
Copy
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