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1316477748
ASHLEY DESOUSA
COLUMBIA, SC
NPI
1316477748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
ASHLEY DESOUSA ATC
1300 WHEAT ST
COLUMBIA, SC 29208-0001
Phone number: 908-209-4015
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Mailing Address
ASHLEY DESOUSA ATC
607 KENT PL
LINDEN, NJ 07036-5917
Phone number:
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