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1417456856
DONALD ANTHONY
GARNER, NC
NPI
1417456856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC LAT-2555)
Enumeration Date
2018-02-11
Last Update Date
2018-02-11
Business Address
DONALD ANTHONY LAT, ATC
1325 TIMBER DR E
GARNER, NC 27529-6924
Phone number: 919-863-6991
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Mailing Address
DONALD ANTHONY LAT, ATC
1325 TIMBER DR E
GARNER, NC 27529-6924
Phone number: 919-863-6991
Copy
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