DONTAZ SMITH

LAWRENCEVILLE, GA
NPI1679925085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002632)
Enumeration Date2016-07-09
Last Update Date2016-07-09
Business Address
-- DONTAZ SMITH
2136 HASEL ST
LAWRENCEVILLE, GA 30044-4525
Phone number: 502-210-9665
Mailing Address
-- DONTAZ SMITH
2136 HASEL ST
LAWRENCEVILLE, GA 30044-4525
Phone number:
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