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1568483287
IAN W GRAULICH
TAMPA, FL
NPI
1568483287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 876)
Enumeration Date
2006-07-21
Last Update Date
2013-10-16
Business Address
Mr. IAN W GRAULICH A.T., C.
13220 USF LAUREL DR, MDF 5TH FLOOR MAIL CODE MDC106
TAMPA, FL 33612
Phone number: 561-310-7272
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Mailing Address
Mr. IAN W GRAULICH A.T., C.
16027 PENWOOD DR
TAMPA, FL 33647-1139
Phone number: 813-977-7722
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