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Individual

PHOEBE M HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
(352) 373-1507
Mailing address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
(352) 373-1507

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069902399
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069902399
NATA
FL
Enumeration date
11/14/2008
Last updated
11/14/2008
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