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1396192563
PHILIP YOUNG
ACWORTH, GA
NPI
1396192563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001847)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- PHILIP YOUNG
4841 LAKE PARK LANE
ACWORTH, GA 30101
Phone number: 470-578-4772
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Mailing Address
-- PHILIP YOUNG
4841 LAKE PARK LANE
ACWORTH, GA 30101
Phone number: 470-578-4772
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