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Individual

KATHRYN WINDHAM WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
225 CHURCH ROAD, BATESBURG, SC 29006
(803) 460-6788
Mailing address
225 CHURCH RD, BATESBURG, SC 29006-9527

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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