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Individual

MR. ORENTHAL JAMES DUNBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, ATC, LAT

Contact information

Practice address
704 SYCAMORE DR, VILLA RICA, GA 30180-5324
(706) 231-1333
Mailing address
704 SYCAMORE DR, VILLA RICA, GA 30180-5324
(706) 231-1333

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
100402072
GA

Other

Enumeration date
06/01/2010
Last updated
06/01/2010
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