CHARLES EMERSON PETERMAN

ST PETERSBURG, FL
NPI1073728275
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL849)
Enumeration Date2007-05-11
Last Update Date2009-02-17
Business Address
Mr. CHARLES EMERSON PETERMAN ATC
4600 4TH ST N
ST PETERSBURG, FL 33703-3802
Phone number: 727-369-5039
Mailing Address
Mr. CHARLES EMERSON PETERMAN ATC
1661 21ST AVE N
ST PETERSBURG, FL 33713-5035
Phone number: 727-452-4283
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