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Individual

MARK STUBBLEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9550 16TH ST N, ST PETERSBURG, FL 33716-4217
(727) 456-1728
Mailing address
9550 16TH ST N, ST PETERSBURG, FL 33716-4217
(727) 456-1728

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL-1256
FL

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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