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Individual

NIGEL MAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
711 FOREST CLUB DR APT 413, WELLINGTON, FL 33414-7909
(719) 423-0159
Mailing address
950 GLADES RD, BOCA RATON, FL 33431-6401

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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