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1174117212
TYLER SHADE
SHELBY, NC
NPI
1174117212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
TYLER SHADE
905 LINNEY LN # A
SHELBY, NC 28152-6411
Phone number: 980-339-0927
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Mailing Address
TYLER SHADE
905 LINNEY LN
SHELBY, NC 28152-6411
Phone number: 980-339-0927
Copy
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