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Individual

EVAN T STUBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., ATC

Contact information

Practice address
1040 GULF BREEZE PKWY, STE 210, GULF BREEZE, FL 32561-7809
(850) 916-8462
Mailing address
1040 GULF BREEZE PKWY, STE 210, GULF BREEZE, FL 32561-7809
(850) 916-8462

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/20/2012
Last updated
01/19/2015
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