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1699428011
THADDEUS HAYES-JOSHUA
FORT MYERS, FL
NPI
1699428011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 6494)
Enumeration Date
2022-01-27
Last Update Date
2022-01-27
Business Address
THADDEUS HAYES-JOSHUA MS, LAT, ATC
14100 6 MILE CYPRESS PKWY
FORT MYERS, FL 33912-4314
Phone number: 719-357-2570
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Mailing Address
THADDEUS HAYES-JOSHUA MS, LAT, ATC
14110 SIX MILE CYPRESS PKWY
FORT MYERS, FL 33912-4314
Phone number:
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