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1699276865
KEITA STEPHEN OHE
ATLANTA, GA
NPI
1699276865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003224)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
KEITA STEPHEN OHE ATC
125 DECATUR ST SE
ATLANTA, GA 30303-3201
Phone number: 404-413-4040
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Mailing Address
KEITA STEPHEN OHE ATC
1020 PIEDMONT AVE NE UNIT 903
ATLANTA, GA 30309
Phone number: 201-245-0378
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