LATASHA NICOLE TEMPLE

FAYETTEVILLE, GA
NPI1477830180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001984)
Enumeration Date2011-11-08
Last Update Date2011-11-08
Business Address
-- LATASHA NICOLE TEMPLE ATC
1975 HIGHWAY 54 W SUITE 210
FAYETTEVILLE, GA 30214-4794
Phone number: 770-632-2060
Mailing Address
-- LATASHA NICOLE TEMPLE ATC
7304 CHADS CIR
JONESBORO, GA 30236-5702
Phone number: 404-725-7850
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