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1184393142
TAYLOR BALLENGER
COLUMBIA, SC
NPI
1184393142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 2000051712)
Enumeration Date
2021-09-12
Last Update Date
2024-01-07
Business Address
TAYLOR BALLENGER SCAT, ATC
1300 WHEAT ST
COLUMBIA, SC 29201-4347
Phone number: 803-777-0636
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Mailing Address
TAYLOR BALLENGER SCAT, ATC
250 CROSSBOW DR APT M24
COLUMBIA, SC 29212-0717
Phone number: 412-327-6952
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