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1225306210
ANDREW M BASS
CARROLLTON, GA
NPI
1225306210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1233)
Enumeration Date
2011-12-06
Last Update Date
2017-10-27
Business Address
ANDREW M BASS ATC
1601 MAPLE STREET ATHLETIC OPERATIONS BUILDING
CARROLLTON, GA 30118-0001
Phone number: 678-839-6628
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Mailing Address
ANDREW M BASS ATC
1601 MAPLE ST
CARROLLTON, GA 30118-0001
Phone number: 678-839-6628
Copy
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