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1235641002
MICHELLE VANTASSEL
COLUMBUS, GA
NPI
1235641002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-11-01
Last Update Date
2023-04-17
Business Address
MICHELLE VANTASSEL
220 OAKLEY DR APT 19
COLUMBUS, GA 31906-4683
Phone number: 605-200-0144
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Mailing Address
MICHELLE VANTASSEL
220 OAKLEY DR APT 19
COLUMBUS, GA 31906-4683
Phone number: 605-200-0144
Copy
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