SUSANNAH RENEE HARVELL

VALDOSTA, GA
NPI1598227225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT003375)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
SUSANNAH RENEE HARVELL LAT, ATC
4340 KINGS WAY
VALDOSTA, GA 31602-6921
Phone number: 229-333-9736
Mailing Address
SUSANNAH RENEE HARVELL LAT, ATC
5 WESTBROOK CIR APT A
VALDOSTA, GA 31602-3533
Phone number: 229-221-7569
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