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1821665894
JACK MIXNER
APOPKA, FL
NPI
1821665894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 5095)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
JACK MIXNER MS, ATC
1706 E SEMORAN BLVD STE 107
APOPKA, FL 32703-5610
Phone number: 407-880-7772
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Mailing Address
JACK MIXNER MS, ATC
1788 HEMPEL AVE
WINDERMERE, FL 34786-8118
Phone number: 407-808-3068
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