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1912592643
KIRK A RIDENOUR
AYNOR, SC
NPI
1912592643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 2000036934)
Enumeration Date
2021-03-04
Last Update Date
2024-08-28
Business Address
KIRK A RIDENOUR LAT, ATC, NASM-CES
201 JORDANVILLE RD
AYNOR, SC 29511-3601
Phone number: 843-488-7109
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Mailing Address
KIRK A RIDENOUR LAT, ATC, NASM-CES
171 PINE FOREST DRIVE
CONWAY, SC 29526-5981
Phone number: 419-792-9412
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