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1073949715
CHE R GOTHARD
MARS HILL, NC
NPI
1073949715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2048)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- CHE R GOTHARD ATC, LAT
100 ATHLETIC ST
MARS HILL, NC 28754
Phone number: 501-428-4724
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Mailing Address
-- CHE R GOTHARD ATC, LAT
P.O. BOX 6668
MARS HILL, NC 28754
Phone number: 501-428-4724
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