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1154978575
ZUMONDRAE NEWSOME
DAYTONA BEACH, FL
NPI
1154978575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
ZUMONDRAE NEWSOME
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114-3012
Phone number: 386-481-2864
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Mailing Address
ZUMONDRAE NEWSOME
312 SUTTON CIR APT 84
DAYTONA BEACH, FL 32114-7812
Phone number:
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