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Individual

ASHTON PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4822 E PALMETTO ST, FLORENCE, SC 29506-4530
Mailing address
3110 BALBEC DR, FLORENCE, SC 29501-7576

Taxonomy

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

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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