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1013746296
AMANDA LEIGH ERVIN
COLUMBIA, SC
NPI
1013746296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC ATH1759)
Enumeration Date
2024-07-29
Last Update Date
2024-09-02
Business Address
AMANDA LEIGH ERVIN LAT, ATC
1300 WHEAT ST
COLUMBIA, SC 29201-4347
Phone number: 631-807-3073
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Mailing Address
AMANDA LEIGH ERVIN LAT, ATC
1300 WHEAT ST
COLUMBIA, SC 29201-4347
Phone number: 631-807-3073
Copy
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