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1922401629
NATHAN D'AMICO
STATESBORO, GA
NPI
1922401629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
NATHAN D'AMICO ATC
15 W GRADY STREET UNIT A
STATESBORO, GA 30458
Phone number: 443-472-6442
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Mailing Address
NATHAN D'AMICO ATC
15 W GRADY STREET UNIT A
STATESBORO, GA 30458
Phone number: 443-472-6442
Copy
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