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1720412265
MINDY SHOOK ELLIS
VIDALIA, GA
NPI
1720412265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001661)
Enumeration Date
2013-08-31
Last Update Date
2013-08-31
Business Address
Mrs. MINDY SHOOK ELLIS ATC
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474-8852
Phone number: 912-277-2033
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Mailing Address
Mrs. MINDY SHOOK ELLIS ATC
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474-8852
Phone number: 912-277-2033
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