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1639518624
KAYCE LEAH WAGNER
SPARTANBURG, SC
NPI
1639518624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1484)
Enumeration Date
2013-06-23
Last Update Date
2022-07-21
Business Address
Ms. KAYCE LEAH WAGNER MS, ATC
800 UNIVERSITY WAY
SPARTANBURG, SC 29303-4932
Phone number: 864-503-5046
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Mailing Address
Ms. KAYCE LEAH WAGNER MS, ATC
902 E LEE RD
TAYLORS, SC 29687-3260
Phone number: 716-969-0906
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