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1578760559
DANETTA HICKS KEMP
DECATUR, GA
NPI
1578760559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA at000620)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
Ms. DANETTA HICKS KEMP MS, ATC
5040 SNAPFINGER WOODS DR SUITE 205
DECATUR, GA 30035-4020
Phone number: 678-205-5736
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Mailing Address
Ms. DANETTA HICKS KEMP MS, ATC
2610 CASHER DR
DECATUR, GA 30034-1009
Phone number: 404-343-0106
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