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1063412740
KEVIN USIF ENNIS
BEAUFORT, SC
NPI
1063412740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 035)
Enumeration Date
2005-07-26
Last Update Date
2007-07-08
Business Address
MR. KEVIN USIF ENNIS A.T.,C.
1076 RIBAUT RD SUITE 102
BEAUFORT, SC 29902-5476
Phone number: 843-521-1970
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Mailing Address
MR. KEVIN USIF ENNIS A.T.,C.
717 JANE WAY
BEAUFORT, SC 29902-6009
Phone number: 843-252-1142
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