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1619123767
MARTIN R TRAVIS
CHARLESTON, SC
NPI
1619123767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 955)
Enumeration Date
2008-08-08
Last Update Date
2008-08-08
Business Address
MARTIN R TRAVIS ATC
1611 CARTERETT AVE
CHARLESTON, SC 29407-4219
Phone number: 843-852-0373
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Mailing Address
MARTIN R TRAVIS ATC
1611 CARTERETT AVE
CHARLESTON, SC 29407-4219
Phone number: 843-852-0373
Copy
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