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1033267521
LARRY MULLIS
MILLEDGEVILLE, GA
NPI
1033267521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000595)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- LARRY MULLIS ATC, LAT
1203 COLUMBIA DR
MILLEDGEVILLE, GA 31061-2395
Phone number: 478-452-6200
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Mailing Address
-- LARRY MULLIS ATC, LAT
1203 COLUMBIA DR
MILLEDGEVILLE, GA 31061-2395
Phone number: 478-452-6200
Copy
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