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1083013437
MARY M. MEDINA
MIAMI, FL
NPI
1083013437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL369)
Enumeration Date
2014-08-21
Last Update Date
2014-08-21
Business Address
-- MARY M. MEDINA
6856 SW 53RD ST
MIAMI, FL 33155-5716
Phone number: 305-666-5871
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Mailing Address
-- MARY M. MEDINA
6856 SW 53RD ST
MIAMI, FL 33155-5716
Phone number: 305-666-5871
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