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1710528823
GINA C LEE
CANTON, GA
NPI
1710528823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003167)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
GINA C LEE ATC, LAT
332 JETTA LN
CANTON, GA 30115-8614
Phone number: 678-787-7473
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Mailing Address
GINA C LEE ATC, LAT
332 JETTA LN
CANTON, GA 30115-8614
Phone number: 678-787-7473
Copy
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