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1013696095
ANTHONY TAYLOR PACK
JACKSONVILLE, AL
NPI
1013696095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2715)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
ANTHONY TAYLOR PACK ATC, LAT
700 PELHAM RD N
JACKSONVILLE, AL 36265-1602
Phone number: 256-782-5582
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Mailing Address
ANTHONY TAYLOR PACK ATC, LAT
700 PELHAM RD N
JACKSONVILLE, AL 36265-1602
Phone number: 256-782-5582
Copy
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