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1134505910
JORDAN ELIZABETH FOWLER
NEWNAN, GA
NPI
1134505910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002715)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- JORDAN ELIZABETH FOWLER ATC, LAT
1755 HIGHWAY 34 E
NEWNAN, GA 30265-5631
Phone number: 770-254-7850
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Mailing Address
-- JORDAN ELIZABETH FOWLER ATC, LAT
1755 HIGHWAY 34 E
NEWNAN, GA 30265-5631
Phone number: 770-254-7850
Copy
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