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1639866189
DOUGLAS BLAKE DANIEL
SPRING HILL, TN
NPI
1639866189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 2268)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
DOUGLAS BLAKE DANIEL MS, ATC, LAT
8006 FENWICK LN
SPRING HILL, TN 37174-9528
Phone number: 931-638-2398
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Mailing Address
DOUGLAS BLAKE DANIEL MS, ATC, LAT
8006 FENWICK LN
SPRING HILL, TN 37174-9528
Phone number: 931-638-2398
Copy
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