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1851025753
JANIAH VENISHA BEAL
STATESBORO, GA
NPI
1851025753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT004223)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
JANIAH VENISHA BEAL
16915 HIGHWAY 67
STATESBORO, GA 30458-5819
Phone number: 912-681-2500
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Mailing Address
JANIAH VENISHA BEAL
9034 WHISPERING PINES BLVD
STATESBORO, GA 30458-9211
Phone number: 191-241-5120
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