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1376181354
KATHERINE SHANK
LEXINGTON, VA
NPI
1376181354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002705)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
KATHERINE SHANK MAT, LAT, ATC
204 W WASHINGTON ST
LEXINGTON, VA 24450-2554
Phone number: 540-458-8166
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Mailing Address
KATHERINE SHANK MAT, LAT, ATC
45 HOLLY PARK LN APT 211
LEXINGTON, VA 24450-3755
Phone number: 269-759-4262
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