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1326408279
SEAN RUSSELL WASSHAUSEN
AFTON, WY
NPI
1326408279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WY 65)
Enumeration Date
2016-03-03
Last Update Date
2019-03-20
Business Address
SEAN RUSSELL WASSHAUSEN MA, LAT, ATC, CSCS
445 W SWIFT CREEK LN
AFTON, WY 83110-8004
Phone number: 307-248-0233
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Mailing Address
SEAN RUSSELL WASSHAUSEN MA, LAT, ATC, CSCS
446 ROUNDS AVE
NEW RICHMOND, WI 54017-2041
Phone number: 715-716-6914
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