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1689186405
CHANDLER JAMES HERMAN
STATESBORO, GA
NPI
1689186405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003133)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
CHANDLER JAMES HERMAN LAT, ATC
590 HERTY DR.
STATESBORO, GA 30458
Phone number: 317-374-1551
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Mailing Address
CHANDLER JAMES HERMAN LAT, ATC
1150 BRAMPTON AVE # 923
STATESBORO, GA 30458-0847
Phone number: 317-374-1551
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