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1831310721
BRANT DOUGLAS BERKSTRESSER
STATESBORO, GA
NPI
1831310721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001397)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. BRANT DOUGLAS BERKSTRESSER ATC
50 HERTY DR HANNER FIELDHOUSE, GEORGIA SOUTHERN UNIVERSITY
STATESBORO, GA 30460-0001
Phone number: 912-681-5053
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Mailing Address
Mr. BRANT DOUGLAS BERKSTRESSER ATC
50 HERTY DR HANNER FIELDHOUSE, GEORGIA SOUTHERN UNIVERSITY
STATESBORO, GA 30460-0001
Phone number: 912-681-5053
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