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1023407111
KASSANDRA KELLY
STATESBORO, GA
NPI
1023407111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001674)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
-- KASSANDRA KELLY ATC, LAT
306B GRANADE ST
STATESBORO, GA 30458-2058
Phone number: 912-478-7582
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Mailing Address
-- KASSANDRA KELLY ATC, LAT
PO BOX 8082
STATESBORO, GA 30460-1000
Phone number:
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