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Individual
MARQUISE SIMS
Active
Individual
MARQUISE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003447
GA
390200000X
Student in an Organized Health Care Education/Training Program
911300891
GA
Other
Enumeration date
12/15/2016
Last updated
03/26/2019
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