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1245761386
PRISCILA ANDREA MEDINA
BRANDON, FL
NPI
1245761386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4453)
Enumeration Date
2017-03-21
Last Update Date
2017-03-21
Business Address
Ms. PRISCILA ANDREA MEDINA ATC
134 E BLOOMINGDALE AVE
BRANDON, FL 33511-8101
Phone number: 305-801-7617
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Mailing Address
Ms. PRISCILA ANDREA MEDINA ATC
8611 BONAIRE BAY LN APT 301
TAMPA, FL 33614-1796
Phone number: 305-801-7617
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