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1750871174
JUSTIN DOUGLAS PETERS
BRADENTON, FL
NPI
1750871174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL1083)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
JUSTIN DOUGLAS PETERS LAT, ATC
6130 39TH CT E
BRADENTON, FL 34203-7002
Phone number: 941-544-8089
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Mailing Address
JUSTIN DOUGLAS PETERS LAT, ATC
6130 39TH CT E
BRADENTON, FL 34203-7002
Phone number: 941-544-8089
Copy
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