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Individual

MRS. AMY LYNN BROCIOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
5600 COUGAR DR, BARRON COLLIER HIGH SCHOOL, NAPLES, FL 34109-5903
(239) 377-1250
Mailing address
971 21ST ST SW, NAPLES, FL 34117-4303
(239) 352-9973

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1018
FL

Other

Enumeration date
07/09/2006
Last updated
07/08/2007
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