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Individual

KEITA STEPHEN OHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
(404) 413-4040
Mailing address
1020 PIEDMONT AVE NE, UNIT 903, ATLANTA, GA 30309
(201) 245-0378

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003224
GA

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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