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1669995858
KRISTEN LEIGH NEITZ
STATESBORO, GA
NPI
1669995858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003166)
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
KRISTEN LEIGH NEITZ
590 HERTY LANE
STATESBORO, GA 30258
Phone number: 828-332-7515
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Mailing Address
KRISTEN LEIGH NEITZ
590 HERTY LANE
STATESBORO, GA 30458-2584
Phone number:
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