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1861924888
ALFREDO LOPEZ-ESTRADA
JACKSONVILLE, FL
NPI
1861924888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL #AL4533)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- ALFREDO LOPEZ-ESTRADA
9726 TOUCHTON RD #104
JACKSONVILLE, FL 32246-8304
Phone number: 904-421-1221
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Mailing Address
-- ALFREDO LOPEZ-ESTRADA
4500 BAYMEADOWS RD APT #14
JACKSONVILLE, FL 32217
Phone number:
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