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1801432430
JOSHUA ZAKHARY STAKER
FORT BENNING, GA
NPI
1801432430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
Mr. JOSHUA ZAKHARY STAKER MS, ATC, LAT
5185 3RD INFANTRY DIVISION RD
FORT BENNING, GA 31905-5009
Phone number: 765-251-0556
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Mailing Address
Mr. JOSHUA ZAKHARY STAKER MS, ATC, LAT
4137 RIDGEFIELD DR
COLUMBUS, GA 31907-6223
Phone number: 765-251-0556
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