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NICKLAS LIDSTROM
Athletic Trainer
NPI: 1871369603Individual
Specialties, Licenses & Credentials
Athletic TrainerPrimary
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
AT03472(SC)
Contact & Hours
- Address
- 925 ONE LANDON LOOP
CONWAY, SC 29528 - Phone
- (843) 349-2825
Quick Facts
- NPI
- 1871369603
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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