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1366809014
LAUREL SMOAK
MYRTLE BEACH, SC
NPI
1366809014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1409)
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
-- LAUREL SMOAK
455 SUNNEHANNA DR UNIT 230
MYRTLE BEACH, SC 29588-5397
Phone number: 864-993-4549
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Mailing Address
-- LAUREL SMOAK
455 SUNNEHANNA DR UNIT 230
MYRTLE BEACH, SC 29588-5397
Phone number:
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