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1275057986
CHARLES AARON KISTLER
ATLANTA, GA
NPI
1275057986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002443)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
CHARLES AARON KISTLER ATC
59 EXECUTIVE PARK S STE 1100
ATLANTA, GA 30329-2208
Phone number: 404-778-6330
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Mailing Address
CHARLES AARON KISTLER ATC
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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