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1497430730
BRYAN WELLS
COLUMBIA, SC
NPI
1497430730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC AT1193)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
BRYAN WELLS ATC
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 727-643-2589
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Mailing Address
BRYAN WELLS ATC
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-434-5465
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