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1033696257
JESSE AUSTEN HODAS
CHARLOTTE, NC
NPI
1033696257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-3918)
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
JESSE AUSTEN HODAS LAT, ATC
11058 CEDAR WALK LN UNIT B
CHARLOTTE, NC 28277-4333
Phone number: 704-277-9099
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Mailing Address
JESSE AUSTEN HODAS LAT, ATC
11058 CEDAR WALK LN UNIT B
CHARLOTTE, NC 28277-4333
Phone number:
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