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1821508185
HANNAH HICKS BRADDOCK
GASTONIA, NC
NPI
1821508185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2558)
Enumeration Date
2017-10-01
Last Update Date
2017-10-01
Business Address
Mrs. HANNAH HICKS BRADDOCK LAT, ATC
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-853-9722
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Mailing Address
Mrs. HANNAH HICKS BRADDOCK LAT, ATC
1536 EASTWAY DR
DALLAS, NC 28034-9415
Phone number: 704-853-9722
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