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Individual

DUSTIN LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1775 M H JACKSON SERVICE RD, ATLANTA, GA 30354-3743
(404) 714-3420
Mailing address
1423 ARBOR BLUFF CT, LAWRENCEVILLE, GA 30045-9773
(678) 431-8038

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003456
GA

Other

Enumeration date
10/20/2019
Last updated
03/23/2021
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