JUDSON FANN

DELAND, FL
NPI1982806519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL1982)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
Mr. JUDSON FANN MS, ATC, LAT, CSCS
421 N WOODLAND BLVD UNIT 8317
DELAND, FL 32723-0001
Phone number: 386-822-7166
Mailing Address
Mr. JUDSON FANN MS, ATC, LAT, CSCS
118 E VILLA CAPRI CIR APT. A
DELAND, FL 32724-7866
Phone number: 386-848-6715
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