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1033829007
CHRISTOPHER MALIK FAYNE
ROME, GA
NPI
1033829007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT004320)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
Mr. CHRISTOPHER MALIK FAYNE LAT, ATC
600 REDMOND RD NW APT G11
ROME, GA 30165-1428
Phone number: 901-277-0633
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Mailing Address
Mr. CHRISTOPHER MALIK FAYNE LAT, ATC
600 REDMOND RD NW APT G11
ROME, GA 30165-1428
Phone number: 901-277-0633
Copy
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