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1841643665
TIMOTHY VIGUE
MIAMI, FL
NPI
1841643665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3740)
Enumeration Date
2016-07-16
Last Update Date
2016-07-16
Business Address
-- TIMOTHY VIGUE
11200 SW 8TH ST GPA 156
MIAMI, FL 33199-2516
Phone number: 803-225-0172
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Mailing Address
-- TIMOTHY VIGUE
3240 SW 105TH AVE
MIAMI, FL 33165-3726
Phone number: 803-225-0172
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