JEANCARLO ALENCASTRO

ATLANTA, GA
NPI1891025235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001665)
Enumeration Date2010-01-07
Last Update Date2015-01-05
Business Address
-- JEANCARLO ALENCASTRO ATC/L
777 CLEVELAND AVE SW SUITE 406
ATLANTA, GA 30315-7101
Phone number: 404-228-3112
Mailing Address
-- JEANCARLO ALENCASTRO ATC/L
117 B VALLEYWOOD RD
TYRONE, GA 30290
Phone number: 678-852-8091
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