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1679908339
KEVIN JAY HEROD
COLUMBIA, SC
NPI
1679908339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
-- KEVIN JAY HEROD ATC
2 MEDICAL PARK RD STE 404
COLUMBIA, SC 29203-6875
Phone number: 803-434-8288
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Mailing Address
-- KEVIN JAY HEROD ATC
2 MEDICAL PARK RD STE 404
COLUMBIA, SC 29203-6875
Phone number: 803-434-8288
Copy
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