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Individual

MR. GENE JASON ESTEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3053
(863) 293-1191
Mailing address
7929 PINE DR, TEMPLE TERRACE, FL 33637-6500
(813) 220-8722

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2806
FL

Other

Enumeration date
06/13/2012
Last updated
06/13/2012
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