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1891306437
TINASIA SMALLS
STATESBORO, GA
NPI
1891306437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-08-16
Last Update Date
2020-08-16
Business Address
TINASIA SMALLS
100 WOODLAND DR APT 1416
STATESBORO, GA 30458-6365
Phone number: 347-650-7570
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Mailing Address
TINASIA SMALLS
100 WOODLAND DR APT 1416
STATESBORO, GA 30458-6365
Phone number: 347-650-7570
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