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Individual

SONYA LADON DUMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10333 THOMPSON PL, CLERMONT, FL 34711-8889
(321) 303-9804
Mailing address
10333 THOMPSON PL, CLERMONT, FL 34711-8889
(321) 303-9804

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
305R00000X
Preferred Provider Organization

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80
TAI CHI
Enumeration date
07/10/2019
Last updated
09/02/2020
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