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1215133947
STEVEN C SHADE
TOWSON, MD
NPI
1215133947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
-- STEVEN C SHADE MS, ATC
8000 YORK RD SPORTS MEDICINE - FIELD HOUSE 101D
TOWSON, MD 21252-0001
Phone number: 410-704-2890
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Mailing Address
-- STEVEN C SHADE MS, ATC
307 LORD BYRON LN APT. T4
COCKEYSVILLE, MD 21030-3544
Phone number: 570-772-2223
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