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1780239806
STACEY KISIL
ATHENS, GA
NPI
1780239806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AHY-881471003)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
Ms. STACEY KISIL ATC, CAT(C), CSCS
100 SMITH ST
ATHENS, GA 30602-1505
Phone number: 706-296-2765
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Mailing Address
Ms. STACEY KISIL ATC, CAT(C), CSCS
1188 GARDEN ROAD
MISSISSAUGA, ONTARIO L5H 3J6
Phone number:
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