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1043628720
MARY WINNINGHAM
STATESBORO, GA
NPI
1043628720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002509)
Enumeration Date
2014-07-26
Last Update Date
2014-07-26
Business Address
-- MARY WINNINGHAM
352 LANGSTON CHAPEL RD
STATESBORO, GA 30458-2478
Phone number: 931-261-6645
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Mailing Address
-- MARY WINNINGHAM
1710 UPPER HILHAM RD
LIVINGSTON, TN 38570-8152
Phone number: 931-261-6645
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