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1932645686
JESSICA FOXWORTH
CONWAY, SC
NPI
1932645686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1842)
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
-- JESSICA FOXWORTH ATC
220 VINEYARD LAKE CIR
CONWAY, SC 29527-7878
Phone number: 843-845-2410
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Mailing Address
-- JESSICA FOXWORTH ATC
220 VINEYARD LAKE CIR
CONWAY, SC 29527-7878
Phone number: 843-845-2410
Copy
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