JASON PHILLIP NUSSBAUM

BLYTHEWOOD, SC
NPI1013157452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  858)
Enumeration Date2009-02-25
Last Update Date2014-12-23
Business Address
Mr. JASON PHILLIP NUSSBAUM MS, ATC
180 TURKEY FARM RD
BLYTHEWOOD, SC 29016-9699
Phone number: 803-381-0168
Mailing Address
Mr. JASON PHILLIP NUSSBAUM MS, ATC
180 TURKEY FARM RD
BLYTHEWOOD, SC 29016-9699
Phone number: 803-381-0168
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