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1336637214
SARAH MUCCILLO
CANTON, GA
NPI
1336637214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002771)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
SARAH MUCCILLO MS, ATC, LAT
30 LAUREL CANYON VILLAGE CIR APT 5203
CANTON, GA 30114-4606
Phone number: 770-842-7903
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Mailing Address
SARAH MUCCILLO MS, ATC, LAT
30 LAUREL CANYON VILLAGE CIR APT 5203
CANTON, GA 30114-4606
Phone number: 770-842-7903
Copy
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