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1548612823
GAGE NATHANIEL BERRY
CLEMSON, SC
NPI
1548612823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1787)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
Mr. GAGE NATHANIEL BERRY ATC
110 HEISMAN ST
CLEMSON, SC 29634-0001
Phone number: 864-656-3453
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Mailing Address
Mr. GAGE NATHANIEL BERRY ATC
1770 BOXWOOD FARM RD
AMHERST, VA 24521-4511
Phone number: 434-841-1917
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