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1417204009
JAMES V. INTORCIA
MACON, GA
NPI
1417204009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001915)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
Mr. JAMES V. INTORCIA A.T.
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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Mailing Address
Mr. JAMES V. INTORCIA A.T.
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
Copy
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