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1790951168
JANECE A RISTY
NEWNAN, GA
NPI
1790951168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002419)
Enumeration Date
2008-05-05
Last Update Date
2014-07-10
Business Address
Ms. JANECE A RISTY ATC
85 BROOKSTONE CRST
NEWNAN, GA 30265-3852
Phone number: 770-755-8768
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Mailing Address
Ms. JANECE A RISTY ATC
85 BROOKSTONE CRST
NEWNAN, GA 30265-3852
Phone number: 770-755-8768
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