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1104336627
MICHAEL GARRETT POLASCIK
JACKSONVILLE, AL
NPI
1104336627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2072)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
MICHAEL GARRETT POLASCIK ATC
700 PELHAM RD N
JACKSONVILLE, AL 36265-1602
Phone number: 256-782-5369
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Mailing Address
MICHAEL GARRETT POLASCIK ATC
700 PELHAM RD N
JACKSONVILLE, AL 36265-1602
Phone number:
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