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1356050231
HEATHER POWELL
LAKELAND, FL
NPI
1356050231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 4294)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
HEATHER POWELL ATC
4900 FRONTAGE RD S
LAKELAND, FL 33815-3193
Phone number: 863-284-2073
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Mailing Address
HEATHER POWELL ATC
5701 BAHIA DEL MAR CIR APT 208
ST PETERSBURG, FL 33715-2356
Phone number: 813-810-1342
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