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1073998639
JONATHAN PAUL BORN
OAKWOOD, GA
NPI
1073998639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002725)
Enumeration Date
2015-07-24
Last Update Date
2016-11-22
Business Address
-- JONATHAN PAUL BORN MS, LAT, ATC
4220 MUNDY MILL PL SUITE 2B
OAKWOOD, GA 30566-2573
Phone number: 678-450-9933
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Mailing Address
-- JONATHAN PAUL BORN MS, LAT, ATC
2400 WISTERIA DR SUITE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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