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1043757842
CAROLINE BAILEY FAWCETT
MABLETON, GA
NPI
1043757842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- CAROLINE BAILEY FAWCETT
430 CHRISPEN TRCE SW
MABLETON, GA 30126-1470
Phone number: 404-825-7637
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Mailing Address
-- CAROLINE BAILEY FAWCETT
430 CHRISPEN TRCE SW
MABLETON, GA 30126-1470
Phone number: 404-825-7637
Copy
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