WILSON OMAR BOADA

TAMPA, FL
NPI1487120945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
WILSON OMAR BOADA
6218 PADDOCK GLEN DR UNIT 104
TAMPA, FL 33634-5364
Phone number: 787-613-0282
Mailing Address
WILSON OMAR BOADA
6218 PADDOCK GLEN DR UNIT 104
TAMPA, FL 33634-5364
Phone number: 787-613-0282
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