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1164632618
JAROD SCOTT GRACE
AUBURN, AL
NPI
1164632618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 719)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. JAROD SCOTT GRACE ATC
651 ROOSEVELT DR
AUBURN, AL 36849-5322
Phone number: 334-844-9829
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Mailing Address
Mr. JAROD SCOTT GRACE ATC
651 ROOSEVELT DR
AUBURN, AL 36849-5322
Phone number: 334-844-9829
Copy
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