DANIEL L SEVERTSON

HINESVILLE, GA
NPI1740365881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001266)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- DANIEL L SEVERTSON ATC
1807 BLAIR CT
HINESVILLE, GA 31313-9482
Phone number: 912-980-3247
Mailing Address
-- DANIEL L SEVERTSON ATC
1807 BLAIR CT
HINESVILLE, GA 31313-9482
Phone number:
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