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1396824991
COREY DARNELL BENNETT
DECATUR, GA
NPI
1396824991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001351)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Mr. COREY DARNELL BENNETT MS, ATC, LAT, CFo
1014 SYCAMORE DR STE. B
DECATUR, GA 30030-1644
Phone number: 404-299-1700
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Mailing Address
Mr. COREY DARNELL BENNETT MS, ATC, LAT, CFo
5079 SUMMER HAVEN WALK
SUGAR HILL, GA 30518-7997
Phone number: 678-714-8571
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