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1104206705
JEREMY DANIEL HOWARD
BONITA SPRINGS, FL
NPI
1104206705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
JEREMY DANIEL HOWARD ATC, CES, PES
28811 S TAMIAMI TRL SUITE #13
BONITA SPRINGS, FL 34134-3201
Phone number: 239-221-7123
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Mailing Address
JEREMY DANIEL HOWARD ATC, CES, PES
17460 ORIOLE RD
FORT MYERS, FL 33967-5104
Phone number: 239-898-9131
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