BLAINE ALLEN BURRIS

HANAHAN, SC
NPI1316292816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  1148)
Enumeration Date2012-07-20
Last Update Date2012-07-20
Business Address
-- BLAINE ALLEN BURRIS ATC
7344 SUNCATCHER DR
HANAHAN, SC 29410
Phone number: 580-606-3484
Mailing Address
-- BLAINE ALLEN BURRIS ATC
7344 SUNCATCHER DR
HANAHAN, SC 29410
Phone number: 580-606-3484
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