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Individual

AUTUMN MARIE OAKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(843) 412-5753
Mailing address
7461 BLACKMON RD APT 5214, COLUMBUS, GA 31909-8419

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/04/2016
Last updated
07/27/2017
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