JEFFREY ALAN COULTER

NEWBERRY, SC
NPI1780936732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  1398)
Enumeration Date2012-10-15
Last Update Date2015-01-30
Business Address
-- JEFFREY ALAN COULTER MS, ATC
2100 COLLEGE ST
NEWBERRY, SC 29108-2126
Phone number: 803-321-5184
Mailing Address
-- JEFFREY ALAN COULTER MS, ATC
100 WALDEN HEIGHTS DR APT 513
IRMO, SC 29063-7865
Phone number: 803-673-9498
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