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1508359845
ROBERT LOUIS BOUTOTE
TAMPA, FL
NPI
1508359845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3957)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
ROBERT LOUIS BOUTOTE ATC
401 W KENNEDY BLVD # I
TAMPA, FL 33606-1450
Phone number: 813-253-6264
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Mailing Address
ROBERT LOUIS BOUTOTE ATC
401 W KENNEDY BLVD # I
TAMPA, FL 33606-1450
Phone number: 813-253-6264
Copy
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