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1821630336
DAVID RODWELL WALTERS
LEXINGTON, SC
NPI
1821630336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 052)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
DAVID RODWELL WALTERS ATC
112 TWELVE MILE DR
LEXINGTON, SC 29072-3964
Phone number: 803-920-7634
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Mailing Address
DAVID RODWELL WALTERS ATC
PO BOX 1922
LEXINGTON, SC 29071-1922
Phone number: 803-920-7634
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