JASON AVERY POWELL

ANDERSON, SC
NPI1740631035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  325)
Enumeration Date2016-06-28
Last Update Date2016-06-28
Business Address
Mr. JASON AVERY POWELL ATC
211 LANCASTER DR
ANDERSON, SC 29621-1969
Phone number: 864-314-5815
Mailing Address
Mr. JASON AVERY POWELL ATC
211 LANCASTER DR
ANDERSON, SC 29621-1969
Phone number: 864-314-5815
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