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1780764605
MICHAEL VON BAKER
CAMPOBELLO, SC
NPI
1780764605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 331)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
MR. MICHAEL VON BAKER ATC,SCAT
18818 ASHEVILLE HWY
CAMPOBELLO, SC 29322
Phone number: 864-457-2606
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Mailing Address
MR. MICHAEL VON BAKER ATC,SCAT
PO BOX 609
LANDRUM, SC 29356
Phone number: 864-457-2606
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