LEE CHARLES DISON

JACKSONVILLE, FL
NPI1831125103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL1248)
Enumeration Date2006-06-25
Last Update Date2007-07-08
Business Address
-- LEE CHARLES DISON ATC/LAT
6464 SILVER GLEN DR
JACKSONVILLE, FL 32258-5134
Phone number: 904-268-1007
Mailing Address
-- LEE CHARLES DISON ATC/LAT
6464 SILVER GLEN DR
JACKSONVILLE, FL 32258-5134
Phone number: 904-268-1007
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