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1669805206
KIRK S RICHARDSON
AIKEN, SC
NPI
1669805206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 1086)
Enumeration Date
2013-08-19
Last Update Date
2013-08-20
Business Address
MR. KIRK S RICHARDSON ATC
375 ROBERT M BELL PKWY
AIKEN, SC 29801-6385
Phone number: 803-641-3628
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Mailing Address
MR. KIRK S RICHARDSON ATC
111 JOSHUA LN
AIKEN, SC 29801-1712
Phone number: 540-309-6029
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