COLTER KANEVERSKY

CAYCE, SC
NPI1891424297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
COLTER KANEVERSKY ATC
1137 FORT CONGAREE TRL APT 2637
CAYCE, SC 29033-3748
Phone number: 317-828-4720
Mailing Address
COLTER KANEVERSKY ATC
1137 FORT CONGAREE TRL APT 2637
CAYCE, SC 29033-3748
Phone number: 317-828-4720
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