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1407455959
MARY LEE RICHARDSON
MABLETON, GA
NPI
1407455959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-10-25
Last Update Date
2020-10-25
Business Address
MARY LEE RICHARDSON
1591 GLENN PL SW
MABLETON, GA 30126-1170
Phone number: 216-702-7316
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Mailing Address
MARY LEE RICHARDSON
1591 GLENN PL SW
MABLETON, GA 30126-1170
Phone number: 216-702-7316
Copy
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