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1295392629
NATHAN BLACK
BIRMINGHAM, AL
NPI
1295392629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2612)
Enumeration Date
2019-05-21
Last Update Date
2023-01-05
Business Address
NATHAN BLACK MAT, LAT, ATC
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 478-254-3656
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Mailing Address
NATHAN BLACK MAT, LAT, ATC
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number:
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