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1336701325
MARISSA ASHLEY HATEM
MACON, GA
NPI
1336701325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003236)
Enumeration Date
2019-07-01
Last Update Date
2019-07-01
Business Address
MARISSA ASHLEY HATEM
296 ORANGE ST APT 5
MACON, GA 31201-1688
Phone number: 478-595-9529
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Mailing Address
MARISSA ASHLEY HATEM
296 ORANGE ST APT 5
MACON, GA 31201-1688
Phone number: 478-595-9529
Copy
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