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Individual

MRS. MARY RACHEL BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3485 MIST CT, VILLA RICA, GA 30180-3372
(678) 793-2028
Mailing address
3485 MIST CT, VILLA RICA, GA 30180-3372
(678) 793-2028

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003650
GA

Other

Enumeration date
02/07/2019
Last updated
06/22/2020
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