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1902094642
CHRISTOPHER BRIAN BLANK
BRADENTON, FL
NPI
1902094642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL1321)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
Mr. CHRISTOPHER BRIAN BLANK ATC, LAT
5500 LAKEWOOD RANCH BLVD
BRADENTON, FL 34211-2100
Phone number: 941-727-6100
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Mailing Address
Mr. CHRISTOPHER BRIAN BLANK ATC, LAT
13638 2ND AVE NE
BRADENTON, FL 34212-2725
Phone number: 941-708-0041
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