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1982199360
DANIELLE DARLENE DERETCHIN
DALTON, GA
NPI
1982199360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003421)
Enumeration Date
2018-06-27
Last Update Date
2018-07-31
Business Address
DANIELLE DARLENE DERETCHIN ATC
1508 N THORNTON AVE STE 106
DALTON, GA 30720
Phone number: 706-226-0816
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Mailing Address
DANIELLE DARLENE DERETCHIN ATC
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7217
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