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1245764406
STEPHANIE SMART
DEMOREST, GA
NPI
1245764406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-04-14
Last Update Date
2019-08-08
Business Address
STEPHANIE SMART
1021 CENTRAL AVE
DEMOREST, GA 30535-5252
Phone number: 706-778-3000
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Mailing Address
STEPHANIE SMART
1021 CENTRAL AVE
DEMOREST, GA 30535-5252
Phone number:
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