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Individual

MARK A FARNSWORTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
A.T.C.

Contact information

Practice address
2745 SWAMP CABBAGE CT, FT MYERS, FL 33901-9300
(239) 936-2033
Mailing address
7548 CAMERON CIR, FT MYERS, FL 33912-5657
(239) 768-0502

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 73
FL

Other

Enumeration date
12/13/2005
Last updated
07/08/2007
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