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1710010905
GARY KEITH PORTER
GAINESVILLE, FL
NPI
1710010905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 1335)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mr. GARY KEITH PORTER MS, ATC, LAT, CEAS
222 E UNIVERSITY AVE STATION 44
GAINESVILLE, FL 32601-5456
Phone number: 352-334-5000
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Mailing Address
Mr. GARY KEITH PORTER MS, ATC, LAT, CEAS
999 SW 16TH AVE 105
GAINESVILLE, FL 32601-0425
Phone number: 352-514-4761
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