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1184178188
JOHN OWEN YOUNGBLOOD
MACON, GA
NPI
1184178188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002123)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
Mr. JOHN OWEN YOUNGBLOOD MS, LAT, ATC
1501 MERCER UNIVERSITY DR
MACON, GA 31207-1515
Phone number: 478-955-1587
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Mailing Address
Mr. JOHN OWEN YOUNGBLOOD MS, LAT, ATC
1501 MERCER UNIVERSITY DR
MACON, GA 31207-1515
Phone number: 478-955-1587
Copy
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