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1811298896
DUSTIN M TATE
SNELLVILLE, GA
NPI
1811298896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001832)
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
-- DUSTIN M TATE ATC
1800 TREE LN SUITE 140
SNELLVILLE, GA 30078-2016
Phone number: 770-982-1260
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Mailing Address
-- DUSTIN M TATE ATC
2400 WISTERIA DR SUITE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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