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1669691523
JUSTIN PATRICK WHITE
DAYTONA BEACH, FL
NPI
1669691523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 1074)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN PATRICK WHITE ATC, CSCS, NSCA-CPT
600 S CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-3966
Phone number: 386-226-6527
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Mailing Address
Mr. JUSTIN PATRICK WHITE ATC, CSCS, NSCA-CPT
1096 YORK WAY
PORT ORANGE, FL 32129-4110
Phone number: 386-299-5387
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