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1457563538
ERIC EDWIN MALEK
KISSIMMEE, FL
NPI
1457563538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3247)
Enumeration Date
2007-05-03
Last Update Date
2009-01-12
Business Address
Mr. ERIC EDWIN MALEK ATC, LAT
700 SOUTH VICTORY WAY
KISSIMMEE, FL 34747
Phone number: 407-939-2313
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Mailing Address
Mr. ERIC EDWIN MALEK ATC, LAT
PO BOX 65
PARADISE, TX 76073-0065
Phone number: 940-393-0611
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