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1912085440
AMETHYST MANN
ORANGE PARK, FL
NPI
1912085440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL2185)
Enumeration Date
2006-11-01
Last Update Date
2008-12-15
Business Address
Mrs. AMETHYST MANN ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
Mrs. AMETHYST MANN ATC
4206 VICTORIA LAKES DR W
JACKSONVILLE, FL 32226-0704
Phone number: 904-521-7815
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