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1376924746
LISA NICHOLS
AUGUSTA, GA
NPI
1376924746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA 26214261)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
-- LISA NICHOLS ATC
1220 W WHEELER PKWY
AUGUSTA, GA 30909-6625
Phone number: 404-422-6747
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Mailing Address
-- LISA NICHOLS ATC
2933 HENRY ST #27
AUGUSTA, GA 30909-3877
Phone number: 404-422-6747
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