MARK EDWARD BOULDEN

GEORGETOWN, SC
NPI1053764977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  1667)
Enumeration Date2016-07-15
Last Update Date2016-07-15
Business Address
-- MARK EDWARD BOULDEN ATC
2185 N FRASER ST
GEORGETOWN, SC 29440-6418
Phone number: 843-527-1800
Mailing Address
-- MARK EDWARD BOULDEN ATC
2185 N FRASER ST
GEORGETOWN, SC 29440-6418
Phone number: 843-527-1800
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