JIMMY LEE FAIRFAX

MIAMI, FL
NPI1972076305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  al2413)
Enumeration Date2019-01-08
Last Update Date2019-01-08
Business Address
JIMMY LEE FAIRFAX ATC LAT
14315 SW 106TH CT
MIAMI, FL 33176-7032
Phone number: 484-529-8037
Mailing Address
JIMMY LEE FAIRFAX ATC LAT
14315 SW 106TH CT
MIAMI, FL 33176-7032
Phone number: 484-529-8037
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