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1144327396
GARY G NELSON
SUMTER, SC
NPI
1144327396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 2255A2300X)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
MR. GARY G NELSON ATC, SCAT
2580 MCCRAYS MILL RD
SUMTER, SC 29154-6028
Phone number: 803-481-4480
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Mailing Address
MR. GARY G NELSON ATC, SCAT
688 RED BUD PARK
SUMTER, SC 29150-2328
Phone number: 803-469-4926
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