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1639366495
DONNA DECKARD-BULLOCK
CLEMSON, SC
NPI
1639366495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 83)
Enumeration Date
2007-09-26
Last Update Date
2007-09-26
Business Address
-- DONNA DECKARD-BULLOCK ATC, MEd
100 PERIMETER RD
CLEMSON, SC 29634-0001
Phone number: 864-656-1951
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Mailing Address
-- DONNA DECKARD-BULLOCK ATC, MEd
PO BOX 31
CLEMSON, SC 29633-0031
Phone number: 864-656-1951
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