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1730559733
JESSICA HERNDON
MOULTRIE, GA
NPI
1730559733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002504)
Enumeration Date
2015-10-02
Last Update Date
2016-09-20
Business Address
-- JESSICA HERNDON ATC
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-985-3420
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Mailing Address
-- JESSICA HERNDON ATC
1 ASHLEY PARK PL APT 406E
THOMASVILLE, GA 31792-6391
Phone number: 803-261-4537
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