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1598896979
THERASA E QUACKENBUSH
OCOEE, FL
NPI
1598896979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2014-07-15
Business Address
-- THERASA E QUACKENBUSH MS, ATC
1678 GLENHAVEN CIR
OCOEE, FL 34761-4028
Phone number: 317-727-9372
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Mailing Address
-- THERASA E QUACKENBUSH MS, ATC
1678 GLENHAVEN CIR
OCOEE, FL 34761-4028
Phone number: 317-727-9372
Copy
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