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1790826121
GILBERT SUMANG PATNUBAY
MCDONOUGH, GA
NPI
1790826121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000741)
Enumeration Date
2007-02-09
Last Update Date
2008-01-02
Business Address
-- GILBERT SUMANG PATNUBAY ATC
105 REGENCY PARK DR
MCDONOUGH, GA 30253-6649
Phone number: 770-305-7555
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Mailing Address
-- GILBERT SUMANG PATNUBAY ATC
105 REGENCY PARK DR
MCDONOUGH, GA 30253-6649
Phone number: 770-305-7555
Copy
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