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1194104257
LISA MARIE DIBENEDETTO
JACKSONVILLE, FL
NPI
1194104257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3305)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- LISA MARIE DIBENEDETTO ATC, LAT
1 UNF DRIVE
JACKSONVILLE, FL 32224
Phone number: 904-620-5135
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Mailing Address
-- LISA MARIE DIBENEDETTO ATC, LAT
1 UNF DRIVE
JACKSONVILLE, FL 32224
Phone number:
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