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1407320302
MATTHEW PANETTA
MILLEDGEVILLE, GA
NPI
1407320302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
MATTHEW PANETTA
231 W HANCOCK ST
MILLEDGEVILLE, GA 31061-3375
Phone number: 770-757-7856
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Mailing Address
MATTHEW PANETTA
6510 PINE RIDGE CIR
CUMMING, GA 30041-4728
Phone number: 770-757-7856
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