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1891722831
KENNETH LEWIS WELLS
ATHENS, GA
NPI
1891722831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000377)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- KENNETH LEWIS WELLS ATC, LAT
1500 OGLETHORPE AVE SUITE 500B
ATHENS, GA 30606-2179
Phone number: 706-549-9924
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Mailing Address
-- KENNETH LEWIS WELLS ATC, LAT
1300 DOVE CREEK CIR
WINDER, GA 30680-5039
Phone number: 770-725-9904
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