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1063283463
SHANE T PHILLIPS
ANCHORAGE, AK
NPI
1063283463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA 123978)
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
SHANE T PHILLIPS MED, ATC/L, PES
5955 ZEAMER AVE
ANCHORAGE, AK 99506-3702
Phone number: 907-580-2778
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Mailing Address
SHANE T PHILLIPS MED, ATC/L, PES
4610 REKA DR APT A19
ANCHORAGE, AK 99508-3614
Phone number: 303-883-6151
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