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1376157933
JESUS E AVILES
ATLANTA, GA
NPI
1376157933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 0001904)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
JESUS E AVILES ATC
755 BATTERY AVE SE
ATLANTA, GA 30339-3017
Phone number: 404-577-9100
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Mailing Address
JESUS E AVILES ATC
HC 5 BOX 7281
YAUCO, PR 00698-9721
Phone number: 787-207-7302
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