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1710023528
LYDIA VANDERFORD ADKINS
STOCKBRIDGE, GA
NPI
1710023528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: GA AT000760)
Enumeration Date
2007-01-29
Last Update Date
2014-12-17
Business Address
LYDIA VANDERFORD ADKINS MS, LAT, ATC
1496 HUDSON BRIDGE RD
STOCKBRIDGE, GA 30281-5018
Phone number: 404-414-6269
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Mailing Address
LYDIA VANDERFORD ADKINS MS, LAT, ATC
429 EGLINGTON TRL
LOCUST GROVE, GA 30248-7012
Phone number: 404-375-1587
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