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1285660746
EVA MARIE BEAULIEU
LAGRANGE, GA
NPI
1285660746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001195)
Enumeration Date
2006-06-24
Last Update Date
2007-07-08
Business Address
-- EVA MARIE BEAULIEU LAT, ATC
601 BROAD ST
LAGRANGE, GA 30240-2955
Phone number: 770-722-4054
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Mailing Address
-- EVA MARIE BEAULIEU LAT, ATC
130 BRIERWOOD CT
FAYETTEVILLE, GA 30215-4615
Phone number: 770-722-4054
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