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1780949099
KENYON FOSTER
COLUMBIA, SC
NPI
1780949099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 586)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
-- KENYON FOSTER atc
305 HESTER CT
COLUMBIA, SC 29223-8507
Phone number: 803-707-4533
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Mailing Address
-- KENYON FOSTER atc
305 HESTER CT
COLUMBIA, SC 29223-8507
Phone number:
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