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1780652388
INGRID MARY GRUTZMACHER
ACWORTH, GA
NPI
1780652388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000501)
Enumeration Date
2006-03-09
Last Update Date
2007-07-08
Business Address
Mrs. INGRID MARY GRUTZMACHER ATC
5718 FAIRWOOD DR NW
ACWORTH, GA 30101-7840
Phone number: 770-528-0251
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Mailing Address
Mrs. INGRID MARY GRUTZMACHER ATC
5718 FAIRWOOD DR NW
ACWORTH, GA 30101-7840
Phone number: 770-528-0251
Copy
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