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1740241520
TIMOTHY EMIL HANSEN
ATLANTA, GA
NPI
1740241520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000734)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
-- TIMOTHY EMIL HANSEN A.T.C.
150 BOBBY DODD WAY NW
ATLANTA, GA 30332-0001
Phone number: 404-894-2529
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Mailing Address
-- TIMOTHY EMIL HANSEN A.T.C.
1109 PLEASANT OAKS CT
LAWRENCEVILLE, GA 30044-7603
Phone number: 404-894-2529
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