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Individual

CHRISTOPHER MICHAEL MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2125 N LAKE AVE, LAKELAND, FL 33805-5012
(863) 398-5029
Mailing address
2125 N LAKE AVE, LAKELAND, FL 33805-5012

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3177
FL

Other

Enumeration date
07/31/2016
Last updated
07/31/2016
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