LAURIE L TIS

ATLANTA, GA
NPI1922136290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT000346)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- LAURIE L TIS ATC
125 DECATUR STREET STE 137
ATLANTA, GA 30303
Phone number: 404-651-4022
Mailing Address
-- LAURIE L TIS ATC
PO BOX 3975
ATLANTA, GA 30302-3975
Phone number: 404-651-4022
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