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1366985731
PHILLIP FAIN
JACKSONVILLE, FL
NPI
1366985731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL4264)
Enumeration Date
2016-12-02
Last Update Date
2016-12-02
Business Address
PHILLIP FAIN
3563 PHILLIPS HWY BUILDING E, SUITE 502
JACKSONVILLE, FL 32207-5663
Phone number: 904-202-4332
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Mailing Address
PHILLIP FAIN
2535 CALADIUM RD
JACKSONVILLE, FL 32211-4090
Phone number:
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