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1275158651
JONATHAN PERRY HOWARD
AUGUSTA, GA
NPI
1275158651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002553)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
JONATHAN PERRY HOWARD ATC
3624 J DEWEY GRAY CIR STE 302
AUGUSTA, GA 30909-6580
Phone number: 919-616-9677
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Mailing Address
JONATHAN PERRY HOWARD ATC
160 SWINTON POND RD
GROVETOWN, GA 30813-5013
Phone number: 919-616-9677
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