MOSI BLAKE

BRANDON, FL
NPI1336656263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL2928)
Enumeration Date2017-12-31
Last Update Date2021-04-22
Business Address
Mr. MOSI BLAKE L/ATC
305 E BRANDON BLVD
BRANDON, FL 33511-5222
Phone number: 813-978-9700
Mailing Address
Mr. MOSI BLAKE L/ATC
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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