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1003170085
JUSTIN SCOTT SHIPP
LITTLE ROCK, AR
NPI
1003170085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT 413)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- JUSTIN SCOTT SHIPP ATC, CSCS
5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205-5412
Phone number: 501-259-2149
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Mailing Address
-- JUSTIN SCOTT SHIPP ATC, CSCS
5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205-5412
Phone number: 501-259-2149
Copy
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