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1194283713
JUAN ALEXANDER ALONSO
BAXLEY, GA
NPI
1194283713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002830)
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
JUAN ALEXANDER ALONSO MS,LAT,ATC
482 BLACKSHEAR HWY
BAXLEY, GA 31513-6708
Phone number: 912-367-8610
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Mailing Address
JUAN ALEXANDER ALONSO MS,LAT,ATC
1258 SUNSET BLVD APT 1F
JESUP, GA 31545-7802
Phone number: 404-434-2171
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