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Individual

JUSTIN MONTORO SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
836 US HIGHWAY 321 BYP S, WINNSBORO, SC 29180-6725
(803) 635-1441
Mailing address
180 CHERRY HILL DR, RIDGEWAY, SC 29130-8367
(803) 337-2706

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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