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1154667178
ANDREA LEE GANSS
EAST LANSING, MI
NPI
1154667178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000362)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
Mrs. ANDREA LEE GANSS MS, AT, ATC
4660 S HAGADORN RD 420
EAST LANSING, MI 48823-5376
Phone number: 517-884-6100
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Mailing Address
Mrs. ANDREA LEE GANSS MS, AT, ATC
5812 APPLEWOOD 702
WEST BLOOMFIELD, MI 48322-3474
Phone number: 231-510-9932
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