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1669055638
STACEY DENISE LAMPKIN
AUGUSTA, GA
NPI
1669055638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003231)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
Ms. STACEY DENISE LAMPKIN MAT, LAT, ATC
1220 W WHEELER PKWY
AUGUSTA, GA 30909-6625
Phone number: 706-869-1515
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Mailing Address
Ms. STACEY DENISE LAMPKIN MAT, LAT, ATC
3328 THAMES PL
HEPHZIBAH, GA 30815-7176
Phone number: 706-830-6798
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