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1922666759
MYCHELLE LYNN BERRY
COLUMBIA, SC
NPI
1922666759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
MYCHELLE LYNN BERRY ATC
1300 WHEAT ST
COLUMBIA, SC 29208-0001
Phone number: 803-777-5261
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Mailing Address
MYCHELLE LYNN BERRY ATC
1050 SOUTHERN DR APT 1806
COLUMBIA, SC 29201-5644
Phone number: 915-319-0503
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