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1124459425
SHATT VANG
CHARLOTTE, NC
NPI
1124459425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2280)
Enumeration Date
2013-12-11
Last Update Date
2014-03-14
Business Address
-- SHATT VANG ATC
4400 GOLF ACRES DR BUILDING J, SUITE D
CHARLOTTE, NC 28208-5990
Phone number: 704-614-4594
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Mailing Address
-- SHATT VANG ATC
2001 ALLEGHANY ST
CHARLOTTE, NC 28208-3734
Phone number: 704-564-6563
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