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1679535397
MICHAEL TYRONE DOUGLAS
ATLANTA, GA
NPI
1679535397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: GA AT001037)
Enumeration Date
2006-04-06
Last Update Date
2015-07-08
Business Address
MR. MICHAEL TYRONE DOUGLAS M.S. A.T.C.
101 MARIETTA ST NW
ATLANTA, GA 30303-2720
Phone number: 404-246-9770
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Mailing Address
MR. MICHAEL TYRONE DOUGLAS M.S. A.T.C.
152 FULTON WAY SE
ATLANTA, GA 30312-2916
Phone number: 404-246-9770
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