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1619299112
LISA HARRIET ELMORE
ATLANTA, GA
NPI
1619299112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001395)
Enumeration Date
2010-02-24
Last Update Date
2010-02-24
Business Address
-- LISA HARRIET ELMORE ATC
3790 ASHFORD DUNWOODY RD NE
ATLANTA, GA 30319-5104
Phone number: 678-896-0526
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Mailing Address
-- LISA HARRIET ELMORE ATC
5296 WINTERS CHAPEL RD
ATLANTA, GA 30360-1461
Phone number: 678-896-0526
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