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1265088132
MARILYN ANITA VESTAL
TAMPA, FL
NPI
1265088132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
DR. MARILYN ANITA VESTAL PHD
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
DR. MARILYN ANITA VESTAL PHD
141 41ST AVE NE
ST PETERSBURG, FL 33703-5823
Phone number: 863-288-8688
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