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1598493025
WILIAM SAMUEL GARDNER
MARION, MS
NPI
1598493025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0421)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
WILIAM SAMUEL GARDNER ATC
5417 BOXWOOD LN
MARION, MS 39342-9018
Phone number: 601-917-6781
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Mailing Address
WILIAM SAMUEL GARDNER ATC
5417 BOXWOOD LN
MARION, MS 39342-9018
Phone number: 601-917-6781
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