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1316395973
ANGELIQUE NELSON
CHARLESTON, SC
NPI
1316395973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4504)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
-- ANGELIQUE NELSON ATC
1675 GARDEN ST
CHARLESTON, SC 29407-6908
Phone number: 843-641-8623
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Mailing Address
-- ANGELIQUE NELSON ATC
1675 GARDEN ST
CHARLESTON, SC 29407-6908
Phone number: 843-641-8623
Copy
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