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1578972873
AMANDA WEBSTER
GREENVILLE, SC
NPI
1578972873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 1608)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
AMANDA WEBSTER
35 INTERNATIONAL DR
GREENVILLE, SC 29615-4816
Phone number: 864-679-2046
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Mailing Address
AMANDA WEBSTER
1104 HALF MILE WAY
GREENVILLE, SC 29609-1594
Phone number:
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