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1922152693
STACEY HITZELBERG
CLEMSON, SC
NPI
1922152693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 806)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Miss STACEY HITZELBERG ATC
100 PERIMETER RD
CLEMSON, SC 29634-0001
Phone number: 864-656-1876
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Mailing Address
Miss STACEY HITZELBERG ATC
811 ISSAQUEENA TRL APT 1604
CENTRAL, SC 29630-9397
Phone number: 864-656-1952
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