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1952748113
FAWN DEBORAH STATEN
COLUMBUS, OH
NPI
1952748113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT - 001826)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
Miss FAWN DEBORAH STATEN MS, AT
442 W 4TH AVE
COLUMBUS, OH 43201-3108
Phone number: 614-774-3980
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Mailing Address
Miss FAWN DEBORAH STATEN MS, AT
442 W 4TH AVE
COLUMBUS, OH 43201-3108
Phone number: 614-774-3980
Copy
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