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1982011276
WILLIAM GRISSOM
GREENVILLE, SC
NPI
1982011276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1060)
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
-- WILLIAM GRISSOM ATC
200 PATEWOOD DR STE B-170
GREENVILLE, SC 29615-3593
Phone number: 864-454-8340
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Mailing Address
-- WILLIAM GRISSOM ATC
200 PATEWOOD DR STE B-170
GREENVILLE, SC 29615-3593
Phone number: 864-454-8340
Copy
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