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Organization
GENESIS FITNESS, LLC
Active
Organization
GENESIS FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVANDIA HARRIS (OWNER)
(334) 699-5099
Entity
Organization
Contact information
Practice address
2701 ROSS CLARK CIR, DOTHAN, AL 36301-3203
(334) 699-5099
Mailing address
2701 ROSS CLARK CIR, DOTHAN, AL 36301-3203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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