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SHARVETTYE ANNGELA FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
3500 E FLETCHER AVE, 511, TAMPA, FL 33613-4708
(813) 396-9627
(813) 396-9195
Mailing address
7025 TIDEWATER TRL, TAMPA, FL 33619-5952
(813) 362-1982

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2228
FL

Other

Enumeration date
07/10/2007
Last updated
07/11/2007
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