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1285341693
MARSHELLE WICEVIC
COLUMBIA, SC
NPI
1285341693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
MARSHELLE WICEVIC ATC
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 843-847-0472
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Mailing Address
MARSHELLE WICEVIC ATC
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number:
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