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1831592682
SHANTASIA WIMBERLY
COLUMBUS, GA
NPI
1831592682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-10-07
Last Update Date
2015-04-14
Business Address
-- SHANTASIA WIMBERLY ATC
5070 WARM SPRINGS RD APT 106
COLUMBUS, GA 31909-4172
Phone number: 404-422-8584
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Mailing Address
-- SHANTASIA WIMBERLY ATC
5070 WARM SPRINGS RD APT 106
COLUMBUS, GA 31909-4172
Phone number: 404-422-8584
Copy
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