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1063695914
JONATHAN AUGUST DEMARIE
NASHVILLE, TN
NPI
1063695914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000001176)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
Mr. JONATHAN AUGUST DEMARIE ATC
2002 BELMONT BLVD
NASHVILLE, TN 37212-4406
Phone number: 615-460-8236
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Mailing Address
Mr. JONATHAN AUGUST DEMARIE ATC
815 PLAYERS CT
NASHVILLE, TN 37211-7014
Phone number: 630-886-9917
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