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1043608482
COREE GEORGENSON
JEFFERSON CITY, TN
NPI
1043608482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 0000001827)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
COREE GEORGENSON LAT, ATC
2130 BRANNER AVE
JEFFERSON CITY, TN 37760-2210
Phone number: 865-471-4162
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Mailing Address
COREE GEORGENSON LAT, ATC
2130 BRANNER AVE
JEFFERSON CITY, TN 37760-2210
Phone number: 865-471-4162
Copy
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