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1871691683
JENNIFER RENEE HEROD
COLUMBIA, SC
NPI
1871691683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 729)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER RENEE HEROD ATC
1051 BLOSSOM ST SUITE 201
COLUMBIA, SC 29208-0001
Phone number: 803-777-0178
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Mailing Address
Mrs. JENNIFER RENEE HEROD ATC
108 LOSKIN LN
LEXINGTON, SC 29073-7182
Phone number: 803-777-0178
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