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1104254556
JAMES LYLE SMUDA
GULF BREEZE, FL
NPI
1104254556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA 0126001781)
Enumeration Date
2013-10-23
Last Update Date
2014-04-03
Business Address
MR. JAMES LYLE SMUDA ATC
1020 GULF BREEZE PKWY
GULF BREEZE, FL 32561-4838
Phone number: 850-916-8650
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Mailing Address
MR. JAMES LYLE SMUDA ATC
12911 SANTA LUCIA CIR APT 202
TAMPA, FL 33635-9714
Phone number:
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