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1366808701
KIRBY JO BERTRAM
COLUMBUS, GA
NPI
1366808701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002803)
Enumeration Date
2016-01-14
Last Update Date
2016-01-14
Business Address
-- KIRBY JO BERTRAM ATC
6262 VETERANS PARKWAY
COLUMBUS, GA 31909
Phone number: 706-324-6661
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Mailing Address
-- KIRBY JO BERTRAM ATC
6600 KITTEN LAKE DRIVE APT 1021
MIDLAND, GA 31820
Phone number: 605-842-6082
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