DEREK S SHAFFER

CABOT, AR
NPI1023235439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR  AT370)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
MR. DEREK S SHAFFER ATC,LAT
1055 HIGHLAND BLVD
CABOT, AR 72023-6001
Phone number: 501-412-3717
Mailing Address
MR. DEREK S SHAFFER ATC,LAT
1055 HIGHLAND BLVD
CABOT, AR 72023-6001
Phone number: 501-412-3717
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