BRIDGETTE IDETTE BANKS

CANTON, GA
NPI1508345158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT003286)
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
BRIDGETTE IDETTE BANKS MAT, LAT, ATC
111 HICKORY KNOLL DR APT 401
CANTON, GA 30114-2444
Phone number: 616-773-9018
Mailing Address
BRIDGETTE IDETTE BANKS MAT, LAT, ATC
111 HICKORY KNOLL DR APT 401
CANTON, GA 30114-2444
Phone number: 616-773-9018
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