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1811549819
ADDISON BRYNNE MIENERT
CUMMING, GA
NPI
1811549819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA 058916984)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
ADDISON BRYNNE MIENERT
6450 IVEY MANOR DR
CUMMING, GA 30040-6684
Phone number: 770-878-7660
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Mailing Address
ADDISON BRYNNE MIENERT
6450 IVEY MANOR DR
CUMMING, GA 30040-6684
Phone number: 770-878-7660
Copy
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