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1740686716
STACEY BAYNHAM
LEXINGTON, SC
NPI
1740686716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 282)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
MISS STACEY BAYNHAM ATC SCAT
320 CORLEY MILL RD
LEXINGTON, SC 29072-8403
Phone number: 803-821-0848
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Mailing Address
MISS STACEY BAYNHAM ATC SCAT
111 SPILLWAY BLVD
LEXINGTON, SC 29072-3418
Phone number: 843-446-1954
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