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1083078414
KAYCEE GREEN
DOUGLASVILLE, GA
NPI
1083078414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002914)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- KAYCEE GREEN ATC
6002 PROFESSIONAL PKWY
DOUGLASVILLE, GA 30134-5600
Phone number: 770-949-8558
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Mailing Address
-- KAYCEE GREEN ATC
4057 ROLLINGWOOD DR
SOUTHSIDE, AL 35907-0964
Phone number: 256-504-5062
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