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1104070549
KEITH CHANDLER TAYLOR
AUGUSTA, GA
NPI
1104070549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000386)
Enumeration Date
2008-11-12
Last Update Date
2009-04-30
Business Address
Mr. KEITH CHANDLER TAYLOR ATC
1706 MAGNOLIA WAY
AUGUSTA, GA 30909
Phone number: 706-210-7529
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Mailing Address
Mr. KEITH CHANDLER TAYLOR ATC
3624 J DEWEY GRAY CIR SUITE 308
AUGUSTA, GA 30909-6584
Phone number: 706-210-7529
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