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1154563518
SUMMER HARRISON
RENICK, WV
NPI
1154563518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV 2000000556)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
-- SUMMER HARRISON ATC
HC 66 BOX 432
RENICK, WV 24966-9649
Phone number: 304-667-8968
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Mailing Address
-- SUMMER HARRISON ATC
HC 66 BOX 432
RENICK, WV 24966-9649
Phone number:
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