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1023716156
KEYSHAWN L CARTER
LOS ANGELES, CA
NPI
1023716156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
KEYSHAWN L CARTER ATC
2201 TROJAN WAY UNIT 6616
LOS ANGELES, CA 90033-2702
Phone number: 248-795-3970
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Mailing Address
KEYSHAWN L CARTER ATC
2201 TROJAN WAY UNIT 6616
LOS ANGELES, CA 90033-2702
Phone number: 248-795-3970
Copy
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