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1508827684
JASON CHRISTOPHER CRADDOCK
FORT MYERS, FL
NPI
1508827684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 866)
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
Mr. JASON CHRISTOPHER CRADDOCK MS, ATC, CSCS
10501 FGCU BLVD S COLLEGE OF HEALTH PROFESSIONS
FORT MYERS, FL 33965-6502
Phone number: 239-590-7535
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Mailing Address
Mr. JASON CHRISTOPHER CRADDOCK MS, ATC, CSCS
11431 BENT PINE DR
FORT MYERS, FL 33913-8112
Phone number: 239-274-5022
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