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1578070595
LATESA HUDSON ROBERTS
DECATUR, GA
NPI
1578070595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001731)
Enumeration Date
2017-12-30
Last Update Date
2017-12-30
Business Address
LATESA HUDSON ROBERTS DHSc., MSHS, ATC
4871 SHIP JACK LN
DECATUR, GA 30035-3052
Phone number: 229-220-1036
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Mailing Address
LATESA HUDSON ROBERTS DHSc., MSHS, ATC
4871 SHIP JACK LN
DECATUR, GA 30035-3052
Phone number: 229-220-1036
Copy
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