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1861437568
MARK WAYBRIGHT
ORANGE PARK, FL
NPI
1861437568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL1432)
Enumeration Date
2006-06-17
Last Update Date
2009-06-11
Business Address
-- MARK WAYBRIGHT ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
-- MARK WAYBRIGHT ATC
55177 COUNTRY TRAIL DRIVE
CALLAHAN, FL 32011
Phone number: 904-264-2156
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