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1780294926
ANDREW ALCANTAR
CALHOUN, GA
NPI
1780294926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002802)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
ANDREW ALCANTAR
7340 FAIRMOUNT HWY SE
CALHOUN, GA 30701-4023
Phone number: 706-602-0320
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Mailing Address
ANDREW ALCANTAR
39 JIM LN SE
CARTERSVILLE, GA 30120-7824
Phone number: 478-293-9539
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