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1508895111
LLOYD TIMOTHY MCLANE
AUGUSTA, GA
NPI
1508895111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL0000001)
Enumeration Date
2006-07-03
Last Update Date
2013-04-16
Business Address
-- LLOYD TIMOTHY MCLANE ATC
937 15TH ST
AUGUSTA, GA 30912-0008
Phone number: 706-836-6949
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Mailing Address
-- LLOYD TIMOTHY MCLANE ATC
1051 ALDER WAY APT 407
EVANS, GA 30809-9119
Phone number: 904-476-8459
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