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1083165930
SAMUEL FOSTER
TALLAHASSEE, FL
NPI
1083165930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4437)
Enumeration Date
2016-10-16
Last Update Date
2016-10-16
Business Address
Mr. SAMUEL FOSTER ATC
403 STADIUM DR
TALLAHASSEE, FL 32304-4247
Phone number: 850-288-3967
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Mailing Address
Mr. SAMUEL FOSTER ATC
232 HAYDEN RD APT #106
TALLAHASSEE, FL 32304-3650
Phone number: 540-588-3031
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