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1639688997
COLLEEN JOANNE BOHANNAN
STATESBORO, GA
NPI
1639688997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-09-29
Last Update Date
2022-07-21
Business Address
COLLEEN JOANNE BOHANNAN ATC
352 LANGSTON CHAPEL RD
STATESBORO, GA 30458-2478
Phone number: 707-853-3295
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Mailing Address
COLLEEN JOANNE BOHANNAN ATC
352 LANGSTON CHAPEL RD
STATESBORO, GA 30458-2478
Phone number: 707-853-3295
Copy
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