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1053355016
SHAWN KEN BLOYER
SPRING GROVE, MN
NPI
1053355016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1873)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. SHAWN KEN BLOYER M.S., ATC
161 1ST ST SW
SPRING GROVE, MN 55974-1270
Phone number: 507-498-3513
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Mailing Address
Mr. SHAWN KEN BLOYER M.S., ATC
161 1ST ST. SW P.O. BOX 415
SPRING GROVE, MN 55974
Phone number: 507-498-3513
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