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1780147421
CLAIRE NICOLE SICELOFF
VALDOSTA, GA
NPI
1780147421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003040)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
CLAIRE NICOLE SICELOFF ATC
2092 S SHERWOOD DR APT 121
VALDOSTA, GA 31602-2249
Phone number: 804-837-2516
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Mailing Address
CLAIRE NICOLE SICELOFF ATC
2092 S SHERWOOD DR APT 121
VALDOSTA, GA 31602-2249
Phone number: 804-837-2516
Copy
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