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1477646842
MICHAEL BOONE
ORANGE PARK, FL
NPI
1477646842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL1621)
Enumeration Date
2006-09-30
Last Update Date
2007-07-08
Business Address
MICHAEL BOONE ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
MICHAEL BOONE ATC
152 CORAL WAY
JACKSONVILLE BEACH, FL 32250-2951
Phone number: 904-859-1629
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