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1063956647
JOHN SHIFFLETT
RADFORD, VA
NPI
1063956647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001271)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- JOHN SHIFFLETT LAT, ATC
101 UNIVERSITY DRIVE
RADFORD, VA 24141-6913
Phone number: 540-831-6128
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Mailing Address
-- JOHN SHIFFLETT LAT, ATC
PO BOX 6913
RADFORD, VA 24142-6913
Phone number: 540-831-6128
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