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1467822833
TYLER CORCORAN
DULUTH, GA
NPI
1467822833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002548)
Enumeration Date
2015-09-29
Last Update Date
2022-09-23
Business Address
TYLER CORCORAN MS, LAT, ATC, ITAT
3737 BROCK RD
DULUTH, GA 30096-2724
Phone number: 706-910-9834
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Mailing Address
TYLER CORCORAN MS, LAT, ATC, ITAT
1362 WOODLAND VIEW RD
LAWRENCEVILLE, GA 30043-7512
Phone number: 706-910-9834
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