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1578970968
STEPHANIE GORDON
CENTRAL, SC
NPI
1578970968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 939)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
-- STEPHANIE GORDON
198 HEATHER DR
CENTRAL, SC 29630-9308
Phone number: 304-266-8455
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Mailing Address
-- STEPHANIE GORDON
198 HEATHER DR
CENTRAL, SC 29630-9308
Phone number:
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