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1699106070
JORGE ISLAS
DURHAM, NC
NPI
1699106070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2638)
Enumeration Date
2013-12-10
Last Update Date
2023-01-27
Business Address
JORGE ISLAS ATC, LAT
3609 SW DURHAM DR
DURHAM, NC 27707-6507
Phone number: 919-471-9622
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Mailing Address
JORGE ISLAS ATC, LAT
5808 MORNING FOREST DR
RALEIGH, NC 27609-4120
Phone number: 704-957-6930
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