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Individual

ADAM M HOLLIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, SCAT

Contact information

Practice address
1300 WHEAT ST, COLUMBIA, SC 29208-0001
(803) 777-5261
Mailing address
481 N BROADWAY ST, TOOELE, UT 84074-1823

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2595
SC

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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