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Individual

ALYSSA BOLNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3429 HIAWATHA DR, COLUMBUS, GA 31907-2035
(706) 617-9083
Mailing address
3429 HIAWATHA DR, COLUMBUS, GA 31907-2035

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GA

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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