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1114493970
COLLIN SCOTT LEE
MYRTLE BEACH, SC
NPI
1114493970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
Mr. COLLIN SCOTT LEE ATS
3870 PALMETTO ST
MYRTLE BEACH, SC 29579-7029
Phone number: 843-424-6510
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Mailing Address
Mr. COLLIN SCOTT LEE ATS
3870 PALMETTO ST
MYRTLE BEACH, SC 29579-7029
Phone number:
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