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1285018481
MARIA SYDNEY SUPPA
COLUMBIA, SC
NPI
1285018481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- MARIA SYDNEY SUPPA ATC
715 CATAWBA CIR
COLUMBIA, SC 29201-5257
Phone number: 941-685-9934
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Mailing Address
-- MARIA SYDNEY SUPPA ATC
715 CATAWBA CIR
COLUMBIA, SC 29201-5257
Phone number: 941-685-9934
Copy
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