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1023063633
CLINT LANE SHUMAN
AUSTIN, TX
NPI
1023063633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1934)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
-- CLINT LANE SHUMAN LAT, ATC
14200 IH-35 NORTH
AUSTIN, TX 78728
Phone number: 512-927-7825
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Mailing Address
-- CLINT LANE SHUMAN LAT, ATC
129 BLANCO DR
HUTTO, TX 78634-4441
Phone number: 512-659-5849
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