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1871035949
SHARELL MONEA LEWIS
LAGRANGE, GA
NPI
1871035949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002794)
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- SHARELL MONEA LEWIS M.S., ATC, LAT
516 N GREENWOOD ST
LAGRANGE, GA 30240-2204
Phone number: 706-668-6800
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Mailing Address
-- SHARELL MONEA LEWIS M.S., ATC, LAT
516 N GREENWOOD ST
LAGRANGE, GA 30240-2204
Phone number: 706-668-6800
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