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1083255764
JAMES ANTHONY WOMBLES
WOODSTOCK, GA
NPI
1083255764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002870)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
JAMES ANTHONY WOMBLES ATC
6565 PUTNAM FORD DR
WOODSTOCK, GA 30189-1501
Phone number: 706-399-9097
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Mailing Address
JAMES ANTHONY WOMBLES ATC
1199 PARKWOOD CHASE NW
ACWORTH, GA 30102-6399
Phone number: 706-399-9097
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