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1487636510
JASON ALLEN KEESEE
MYRTLE BEACH, SC
NPI
1487636510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 221)
Enumeration Date
2005-11-15
Last Update Date
2017-05-22
Business Address
Mr. JASON ALLEN KEESEE ATC
4900 SOCASTEE BLVD
MYRTLE BEACH, SC 29588-7221
Phone number: 843-293-2513
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Mailing Address
Mr. JASON ALLEN KEESEE ATC
729 HAWTHORN DR
PAWLEYS ISLAND, SC 29585-8008
Phone number: 843-235-2930
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