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1124130646
CHRISTOPHER WISE
ROME, GA
NPI
1124130646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001009)
Enumeration Date
2006-08-31
Last Update Date
2007-10-22
Business Address
-- CHRISTOPHER WISE atc
201 TURNER MCCALL BLVD NW
ROME, GA 30165-2545
Phone number: 706-236-2758
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Mailing Address
-- CHRISTOPHER WISE atc
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-236-2758
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