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1821266644
IRELIAM GUADALUPE
FORT MYERS, FL
NPI
1821266644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL2555)
Enumeration Date
2008-02-14
Last Update Date
2019-11-21
Business Address
Miss IRELIAM GUADALUPE MS, LAT, ATC
10501 FGCU BLVD S
FORT MYERS, FL 33965-5588
Phone number: 239-745-4299
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Mailing Address
Miss IRELIAM GUADALUPE MS, LAT, ATC
12801 EAGLE POINTE CIR
FORT MYERS, FL 33913-7964
Phone number: 239-340-9111
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