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1528795242
DEDRIC LEWIS
BOILING SPRINGS, SC
NPI
1528795242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-08-03
Last Update Date
2024-02-21
Business Address
DEDRIC LEWIS SCAT, ATC
2251 OLD FURNACE RD
BOILING SPRINGS, SC 29316-5761
Phone number: 864-578-8465
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Mailing Address
DEDRIC LEWIS SCAT, ATC
175 PATEWOOD DR
GREENVILLE, SC 29615-3570
Phone number: 864-350-5037
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