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1205933454
FREDRICK ANTHONY GARDIN
COLUMBIA, SC
NPI
1205933454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 788)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
FREDRICK ANTHONY GARDIN ATC, CSCS, USAW
500 HARBISON BLVD APT 2310
COLUMBIA, SC 29212-1735
Phone number: 803-673-6155
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Mailing Address
FREDRICK ANTHONY GARDIN ATC, CSCS, USAW
500 HARBISON BLVD APT 2310
COLUMBIA, SC 29212-1735
Phone number: 803-673-6155
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