JAMIL R LEA

DOUGLASVILLE, GA
NPI1629722327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  11207050089)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
Mr. JAMIL R LEA
289 BRYSON LAKE CIR
DOUGLASVILLE, GA 30134-5920
Phone number: 678-683-5506
Mailing Address
Mr. JAMIL R LEA
289 BRYSON LAKE CIR
DOUGLASVILLE, GA 30134-5920
Phone number:
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