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1245647635
ADAM DOUGLAS HENRY
ANDREWS, SC
NPI
1245647635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 869)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
-- ADAM DOUGLAS HENRY ATC, SCAT
12890 COUNTY LINE RD ANDREWS HIGH SCHOOL
ANDREWS, SC 29510-6877
Phone number: 843-264-3414
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Mailing Address
-- ADAM DOUGLAS HENRY ATC, SCAT
12890 COUNTY LINE RD ANDREWS HIGH SCHOOL
ANDREWS, SC 29510-6877
Phone number: 843-264-3414
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