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1427465715
JASON KLUCKHOHN
GREENVILLE, SC
NPI
1427465715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 384)
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
-- JASON KLUCKHOHN ATC, SCAT
200 PATEWOOD DR STE B170
GREENVILLE, SC 29615-6335
Phone number: 864-420-7627
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Mailing Address
-- JASON KLUCKHOHN ATC, SCAT
225 BALLYHOO CT
GREER, SC 29651-4914
Phone number: 864-420-7627
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