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1720219728
ANDREA LEE SULEWSKI
MYRTLE BEACH, SC
NPI
1720219728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1089)
Enumeration Date
2009-08-07
Last Update Date
2009-08-07
Business Address
-- ANDREA LEE SULEWSKI ATC
3302 ROBERT GRISSOM PKWY
MYRTLE BEACH, SC 29577-6401
Phone number: 843-445-2051
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Mailing Address
-- ANDREA LEE SULEWSKI ATC
199 AUGUSTA PLANTATION DR UNIT W
MYRTLE BEACH, SC 29579-6449
Phone number: 773-680-0104
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