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1164838041
JONI MADDOX
LIVINGSTON, AL
NPI
1164838041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1017)
Enumeration Date
2014-07-11
Last Update Date
2021-06-16
Business Address
JONI MADDOX DAT, ATC
100 NORTH WASHINGTON STREET
LIVINGSTON, AL 35085-6757
Phone number: 205-233-0932
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Mailing Address
JONI MADDOX DAT, ATC
100 NORTH WASHINGTON STREET UWA STATION 14
LIVINGSTON, AL 35470-6757
Phone number: 205-365-3455
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