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1356563852
SUSANNE GRANER RAEDEKE
GREENVILLE, NC
NPI
1356563852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0123)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mrs. SUSANNE GRANER RAEDEKE ATC
207 FIELD ST
GREENVILLE, NC 27858
Phone number: 252-355-4908
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Mailing Address
Mrs. SUSANNE GRANER RAEDEKE ATC
207 FIELD ST
GREENVILLE, NC 27858
Phone number: 252-355-4908
Copy
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