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1033815550
BARRY LIPPMAN
MYRTLE BEACH, SC
NPI
1033815550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC SC029801)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
Mr. BARRY LIPPMAN ATC
1411 PETERSON ST
MYRTLE BEACH, SC 29577-1405
Phone number: 843-421-1772
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Mailing Address
Mr. BARRY LIPPMAN ATC
PO BOX 261954
CONWAY, SC 29528-6054
Phone number: 843-421-1772
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