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1972049500
LISA BASARAB
JACKSONVILLE, FL
NPI
1972049500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 001809)
Enumeration Date
2017-01-06
Last Update Date
2017-01-06
Business Address
LISA BASARAB
3451 CHRYSLER DR
JACKSONVILLE, FL 32257-5405
Phone number: 904-631-2943
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Mailing Address
LISA BASARAB
3451 CHRYSLER DR
JACKSONVILLE, FL 32257-5405
Phone number: 904-631-2943
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