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1558324244
TIMOTHY JOHN DESMARTEAU
BABSON PARK, FL
NPI
1558324244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 285)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY JOHN DESMARTEAU ATC/L
1201 N SCENIC HWY
BABSON PARK, FL 33827-9751
Phone number: 863-638-2949
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Mailing Address
Mr. TIMOTHY JOHN DESMARTEAU ATC/L
1435 AVENUE H NE
WINTER HAVEN, FL 33881-4353
Phone number: 352-267-7619
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