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1003203860
ALEXIS MYERS OSMENT
VILLA RICA, GA
NPI
1003203860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT 002253)
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- ALEXIS MYERS OSMENT
2007 HUBBARD CT
VILLA RICA, GA 30180-5842
Phone number: 636-579-6810
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Mailing Address
-- ALEXIS MYERS OSMENT
2007 HUBBARD CT
VILLA RICA, GA 30180-5842
Phone number: 636-579-6810
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