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1285839001
BRYAN T ANDERSON
JACKSONVILLE, FL
NPI
1285839001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL2127)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
BRYAN T ANDERSON ATC
1325 SAN MARCO BLVD SUITE 102
JACKSONVILLE, FL 32207-8568
Phone number: 904-858-7045
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Mailing Address
BRYAN T ANDERSON ATC
1325 SAN MARCO BLVD SUITE 701
JACKSONVILLE, FL 32207-8568
Phone number: 904-858-6418
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