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1114954724
BENJAMIN MERRITT
FORT MILL, SC
NPI
1114954724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 276)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
MR. BENJAMIN MERRITT ATC
225 MUNN RD E
FORT MILL, SC 29715-9497
Phone number: 803-548-1900
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Mailing Address
MR. BENJAMIN MERRITT ATC
1629 FOREST LAKE DR
ROCK HILL, SC 29732-9612
Phone number: 803-487-0011
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