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Individual

JULIE ANNE WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
BLATT PE CENTER, 1300 WHEAT ST, COLUMBIA, SC 29208
(847) 987-3170
Mailing address
BLATT PE CENTER, 1300 WHEAT ST, OFFICE 214, COLUMBIA, SC 29208

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/11/2021
Last updated
06/24/2024
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