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Individual

MISS STEPHANIE ANN LENNON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
6000 WINEGARD RD, ORLANDO, FL 32809-4879
(407) 852-3200
(407) 850-5152
Mailing address
5404 BRERETON AVE, ORLANDO, FL 32839-2908
(407) 240-8330
(407) 850-5152

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL177
FL

Other

Enumeration date
04/25/2006
Last updated
07/08/2007
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