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1528467784
PHILLIP LEACH
ROCK HILL, SC
NPI
1528467784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 1502)
Enumeration Date
2014-08-13
Last Update Date
2014-10-07
Business Address
-- PHILLIP LEACH
490 ALYSIA CT APT 207
ROCK HILL, SC 29732-6537
Phone number: 803-530-1859
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Mailing Address
-- PHILLIP LEACH
490 ALYSIA CT APT 207
ROCK HILL, SC 29732-6537
Phone number: 803-530-1859
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