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1912086570
KODI MARX
DECATUR, GA
NPI
1912086570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT000673)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Miss KODI MARX ATC, OT-SC
1014 SYCAMORE DR STE. B
DECATUR, GA 30030-1644
Phone number: 404-299-1700
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Mailing Address
Miss KODI MARX ATC, OT-SC
4437 PINERIDGE CIR
DUNWOODY, GA 30338-6538
Phone number: 404-451-7682
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