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1386005650
SETH TISDALE
DELAND, FL
NPI
1386005650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-03-15
Last Update Date
2016-03-15
Business Address
-- SETH TISDALE MS,ATC, LAT,CES
421 N WOODLAND BLVD UNIT 8284
DELAND, FL 32723-8300
Phone number: 386-822-7029
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Mailing Address
-- SETH TISDALE MS,ATC, LAT,CES
422 W NEW YORK AVE APT. D
DELAND, FL 32720-5349
Phone number:
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