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1083013593
KATIE COULTER
COLUMBIA, SC
NPI
1083013593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 1022)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
KATIE COULTER M.S., ATC
2 MEDICAL PARK RD SUITE 104
COLUMBIA, SC 29203-6808
Phone number: 803-434-6812
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Mailing Address
KATIE COULTER M.S., ATC
100 WALDEN HEIGHTS DR APT 512
IRMO, SC 29063-7865
Phone number:
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