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1114473378
MARIAH BERNANKE
CHARLOTTE, NC
NPI
1114473378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 000034855866)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- MARIAH BERNANKE
7730 COMPTON CT
CHARLOTTE, NC 28270-9548
Phone number: 704-604-7719
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Mailing Address
-- MARIAH BERNANKE
7730 COMPTON CT
CHARLOTTE, NC 28270-9548
Phone number: 704-604-7719
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