JOHN SIMONS DE MAILLY

LEXINGTON, SC
NPI1720343007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2012-07-12
Last Update Date2016-01-27
Business Address
-- JOHN SIMONS DE MAILLY ATC
604 DAWSONS PARK WAY
LEXINGTON, SC 29072-1929
Phone number: 803-917-0571
Mailing Address
-- JOHN SIMONS DE MAILLY ATC
604 DAWSONS PARK WAY
LEXINGTON, SC 29072-1929
Phone number: 803-917-0571
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