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1285254425
KRISTA HAIDLE
COLUMBIA, SC
NPI
1285254425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1069)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
KRISTA HAIDLE ATC
2400 JACKSON BLVD
COLUMBIA, SC 29207-7015
Phone number: 412-721-6473
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Mailing Address
KRISTA HAIDLE ATC
19 LANDMARK DR APT 22E
COLUMBIA, SC 29210-4531
Phone number: 412-721-6473
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