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1528185907
BILLY JOE MCDOUGAL
JACKSONVILLE, FL
NPI
1528185907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 213)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- BILLY JOE MCDOUGAL ATC
2800 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211-3321
Phone number: 904-256-7421
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Mailing Address
-- BILLY JOE MCDOUGAL ATC
6158 DAWNRIDGE RD S
JACKSONVILLE, FL 32277-1407
Phone number: 904-744-3045
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