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Individual

WILL HEDDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
3940 SW 20TH AVE APT 1103, GAINESVILLE, FL 32607-4413
(352) 727-0246
Mailing address
3940 SW 20TH AVE APT 1103, GAINESVILLE, FL 32607-4413
(352) 727-0246

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2977
FL

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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