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1235105032
DIANE GREEN KING
CUMMING, GA
NPI
1235105032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA 111)
Enumeration Date
2006-02-23
Last Update Date
2014-03-03
Business Address
-- DIANE GREEN KING ATC, RD, CSSD
410 PEACHTREE PKWY SUITE 300
CUMMING, GA 30041-7066
Phone number: 404-354-0008
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Mailing Address
-- DIANE GREEN KING ATC, RD, CSSD
328 RHODES HOUSE CT
SUWANEE, GA 30024-6472
Phone number: 770-831-4743
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