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1174022388
SHAWN MICHAEL PACIFICO
COVENTRY, RI
NPI
1174022388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-02-03
Last Update Date
2018-02-03
Business Address
SHAWN MICHAEL PACIFICO
33 CYNTHIA DR
COVENTRY, RI 02816-8413
Phone number: 401-580-2291
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Mailing Address
SHAWN MICHAEL PACIFICO
33 CYNTHIA DR
COVENTRY, RI 02816-8413
Phone number: 401-580-2291
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