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Individual

AMANDA WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 679-2046
Mailing address
1104 HALF MILE WAY, GREENVILLE, SC 29609-1594

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1608
SC

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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