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Individual

MISS LAUREN GRACE HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 WOODLAND DR, SUMMERVILLE, SC 29485-3216
(843) 514-7064
Mailing address
118 WOODLAND DR, SUMMERVILLE, SC 29485-3216
(843) 514-7064

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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