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Complete directory of Florida Health Professionals
Source: Florida Department of Health (June, 29, 2019)

 

Depew Jacob T - Florida Health Professionals

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CountyOut of State
Address (Line 1)502 MUSKET DR.
Address (City)WILLIAMSBURG
Address (State)VA
Address (Zip Code)23185
ProfessionAthletic Trainer
Email   tylerdepew@gmail.com
File Number2168
License Expiration Date9/30/2010
Original Date2/16/2006
Rank CodeAL
License Number2056
Status Effective Date10/15/2012
Phone Number (Area Code)618
Phone Number292-0980
Practice Location (Address Line1)2125 N. LAKE AVE.
Practice Location (City)LAKELAND
Practice Location (State)FL
Practice Location (Zip Code)33805
Prescribe IndN
Full NameDEPEW JACOB T
Board Action IndicatorN
License Status DescriptionNULL AND VOID

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