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1164980090
REANN DARIA YOUNG
STATESBORO, GA
NPI
1164980090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
REANN DARIA YOUNG
130 LANIER DR APT 132
STATESBORO, GA 30458-8006
Phone number: 912-515-4535
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Mailing Address
REANN DARIA YOUNG
130 LANIER DR APT 132
STATESBORO, GA 30458-8006
Phone number: 912-515-4535
Copy
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