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1588624308
TY C. COLVIN
OCOEE, FL
NPI
1588624308
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Former Name
TY C. MASON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 2628)
Enumeration Date
2006-03-24
Last Update Date
2009-05-11
Business Address
Mrs. TY C. COLVIN MS, ATC/L
530 BRIDGE CREEK BLVD
OCOEE, FL 34761-4717
Phone number: 321-662-6512
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Mailing Address
Mrs. TY C. COLVIN MS, ATC/L
530 BRIDGE CREEK BLVD
OCOEE, FL 34761-4717
Phone number: 321-662-6512
Copy
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