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1144296989
MICHAEL JIM BRANNON
COCHRAN, GA
NPI
1144296989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA 000321)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JIM BRANNON ATC
1 ROYAL DRIVE
COCHRAN, GA 31014
Phone number: 478-934-6258
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Mailing Address
Mr. MICHAEL JIM BRANNON ATC
PO BOX 804
COCHRAN, GA 31014-0804
Phone number: 478-290-7802
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