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1023517638
CORBIN B HENAULT
SAVANNAH, GA
NPI
1023517638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002590)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
CORBIN B HENAULT MEd, ATC
3219 COLLEGE ST
SAVANNAH, GA 31404-5254
Phone number: 912-358-3439
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Mailing Address
CORBIN B HENAULT MEd, ATC
1901 KINGSTOWN DR APT 78
SAVANNAH, GA 31404-2364
Phone number: 408-679-7133
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