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1225255797
SHANICK TAMARA AUGUSTIN
OCOEE, FL
NPI
1225255797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL2296)
Enumeration Date
2007-04-19
Last Update Date
2008-12-17
Business Address
Miss SHANICK TAMARA AUGUSTIN ATC
8945 W COLONIAL DR
OCOEE, FL 34761-6918
Phone number: 407-822-7506
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Mailing Address
Miss SHANICK TAMARA AUGUSTIN ATC
7220 WESTPOINTE BLVD #1426
ORLANDO, FL 32835-6126
Phone number: 407-496-5152
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