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1770969115
JAMES BRADLEY DRAKE
NORTH CHARLESTON, SC
NPI
1770969115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 352)
Enumeration Date
2015-08-08
Last Update Date
2015-08-08
Business Address
-- JAMES BRADLEY DRAKE ATC
9200 UNIVERSITY BLVD
NORTH CHARLESTON, SC 29406-9121
Phone number: 843-863-7681
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Mailing Address
-- JAMES BRADLEY DRAKE ATC
9200 UNIVERSITY BLVD
NORTH CHARLESTON, SC 29406-9121
Phone number: 843-863-7681
Copy
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